Management of Asthma in Adults Flashcards
1
Q
Aims of asthma treatment
A
- no daytime symptoms
- no night time wakening
- no need for rescue medication
- no asthma attacks
- no limitations on activity including exercise & normal lung function (in practical terms FEV1 and/or PEF>80% predicted or best)
- minimal side effects from medication.
2
Q
Non pharmacological management of asthma
A
- Exercise
- Smoking cessation
- Weight management
- Flu/Pneumococcal vaccinations
3
Q
INHALER
A
- Small dose of drugs
- Delivery directly to the target organ (airways and lung)
- Onset of effect is faster
- Minimal systemic exposure
- Systemic adverse effects are less severe and less frequent
4
Q
What are the types of inhalers
A
pMDI (Metered Dose Inhalers)
pMDI with spacers
pMDI with spacers
5
Q
Pharmacological management of asthma
A
- Inhaled therapy
- Oral therapy
- Specialist treatments
6
Q
Oral therapy for Asthma
A
- Leukotriene Receptor Antagonist
- Theophylline
- Prednisolone
7
Q
Contrast of asthma vs COPD
A
- Age of onset
- Smoking history
- Response to treatment
- Treatment goals
- Trajectory
- Similar therapies
- Non Pharmacological interventions same
8
Q
Acute asthma attack - Mild/moderate
A
- Increase inhaler use
- Oral Steroid
- Treat trigger
- Early follow up
- Back up plan
9
Q
Acute asthma attack - moderate/severe = hospital
A
- Nebulisers – Salbutamol/Ipratropium
- Oral/IV Steroid
- Magnesium
- Aminophylline
- Triggers – infection/allergen
- Complications – CXR
- Review
- Level 2/3 care
