Human diseases L8: Respiratory medicine 2 Asthma

Question 1

Q16: someone suffering from asthma, records a peak expiratory flow rate of <33% of their best score. This score indicates what?

Answer 1

The person has life threatening asthma.

Question 2

Q12: if a patient is using oral corticosteroids, what is there severity in asthma from low, medium to high?

Answer 2

High. If you are dependent on steroids for asthma treatment you are regarded as having an increased severity.

Question 3

Q15: someone suffering from asthma, records a peak expiratory flow rate of 33-50% of their best score.This score indicates what?

Answer 3

The person has acute severe asthma.

Question 4

Q25: if the acute asthma is part of an anaphylactic reaction, what must be administered?

Answer 4

Intramuscular adrenaline.

Question 5

Q20: how would you manage someone suffering from acute severe asthma?

Answer 5

Phone 999, give salbutamol, give oxygen.

Question 6

Q19: someone not able to complete full sentences in one breath would be suffering from which type of asthma?

Answer 6

Acute severe asthma

Question 7

Q27: why do you need to shake before you take the inhaler?

Answer 7

The shaking mixes the drugs inside with the propellant in the cartridge

Question 8

Q9: if someone shows they have asthma on their medical records, which type of drugs would you be careful to not prescribe?

Answer 8

NSAIDs

Question 9

Q22: someone suffering from life threatening asthma, would expect to show partial arterial pressure of oxygen measurement of?

Answer 9

PaO2 <8 KPa

Question 10

Q18: someone showing acute severe asthma will have respiratory and cardiac symptoms. what is the expected respiratory rate and heart rate of someone suffering from acute severe asthma?

Answer 10

Respiratory rate >25/min and heart rate >110/min

Question 11

Q10: how can we determine the severity of asthma in a patient by asking if they are restricted to activities?

Answer 11

Certain activities require minimal exertion, and some require allot. By understanding which activities, a patient cannot do, can help determine the severity.

Question 12

Q13: if a patient was taking other medications along with their inhaler to control their asthma does that indicate low or increased severity.

Answer 12

Increased severity

Question 13

Q21: someone suffering from life threatening asthma, would expect to show a oxygen saturation measurement of?

Answer 13

SpO <92%

Question 14

Q7: what is exertional asthma?

Answer 14

It is asthma that has been triggered by exercise.

Question 15

Q28: what is priming an inhaler?

Answer 15

Priming an inhaler is giving two puffs away from your body so that the mixture inside is the right amount of concentration.

Question 16

Q8: which drugs show some form of correlation of triggering asthma?

Answer 16

NSAIDs

Question 17

Q3: people suffering from an asthma attack show the characteristic wheezing sound, what is happening in the air passage to show this symptom?

Answer 17

The lining of the air passage swells which reduces the airflow causing the wheezing sound.

Question 18

Q30: why is it recommended to rinse your mouth after using your inhaler?

Answer 18

Can cause dry mouth, oral candidiasis and altered taste.

Question 19

Q26 what must be provided when the patient is taken by the paramedics and to the hospital?

Answer 19

A handover note (SBAR)

Question 20

Q14: someone suffering from asthma, records a peak expiratory flow rate of 50-75% of their best score. This score indicates what?

Answer 20

The person has moderate acute asthma.

Question 21

Q6: asthma precipitants vary amongst individuals however, what are the common allergens that trigger asthma in people?

Answer 21

House dust mite, pet dander and pollen.

Question 22

Q2: what happens to the muscles of the bronchial tree in an asthma attack?

Answer 22

They become tight

Question 24

Q1: in which condition would you expect to see reversible small airways obstruction?

Answer 24

Asthma

Question 25

Q23: how would you manage a patient suffering acute asthma in a dental surgery?

Answer 25

ABCDE approach

Question 26

Q17: someone showing moderate acute asthma has increasing symptoms and a PEF of 50-75%, how would you manage this person?

Answer 26

Give salbutamol and reassess

Question 27

Q11: by asking ‘how often you use your inhaler’ determine the severity of asthma?

Answer 27

If a patient is using their inhaler 4 times to manage their symptoms, that would indicate the asthma is not controlled properly, compared to someone who may need to use it once.

Question 28

Q24: if a patient does not satisfactorily respond to salbutamol, what would be the next procedure to follow?

Answer 28

Call 999.

Question 29

Q4: how is asthmas assessed?

Answer 29

By peak expiratory flow rate.

Question 30

Q5: Peak expiratory flow rate is plotted by three factors, what are they?

Answer 30

Sex, age and height

Question 31

Q29: poor compliance of using an inhaler and recent chest infections can result to what type of asthma?

Answer 31

unstable asthma, by not managing your asthma through compliance you are increasing the chances of infections which over a period of time will develop to unstable angina.