management of asthma in adults Flashcards
What is the aim of the treatment for asthma
Complete control over the asthma:
No daytime symptoms
No night time awakening
No salbutamol
No asthma attacks
No limitation in activity
What are non pharmacological interventions for asthma
exercise
smoking cessation
Weight management
How do inhalers work
Small dose of drug delivered directly to the lung - fast acting
What is an example of a short acting beta 2 agonist - SABA - reliever
Salbutamol - not a prevention but used for relief
What are the made side effects of salbutamol
Fine tremors and increased heart rate
What are the oral therapies given for asthma
Leukotrine receptor antagonist
Theophylline
Prednisolone
What describes moderate asthma
Increasing symptoms
Peak flow - 50-75% of best
What describes acute severe asthma
Peak flow - 33-50% of best
Resp rate > 25
heart rate >110 bpm
Inability to talk without getting breathless
Describe near fatal asthma
Raised PaCO2
What should be given during a mild/moderate acute asthma attack
Increase inhaler dose
Oral steroid
Treat trigger
What should be done during moderate/severe acute asthma attack
Hospital:
salbutamol nebuliser
Oral/IV steroid
Magnesium
Aminophylline
What is the difference in history between COPD and asthma
Age of onset
Smoking history
Response to treatment
Trajectory
