PEDS - Asthma

Question 1

2 essentials to diagnosing asthma?

Answer 1

Reversibility of airway obstruction via bronchodilator or spontaneously
Limitation of airflow on pulmonary function testing

Question 2

5 symptoms of asthma?

Answer 2

Cough, wheezing, chest tightness, shortness of breath, prolonged exhalation

Question 3

2 pathophysiology things he wants us to know about asthma airway?

Answer 3

Tightened/constricted smooth muscle

Inflammation of the airway wall with mucus

Question 4

Patho Physiology of what is triggering the asthma event he wants us to know?

Answer 4

Mast cells leading to luekotriene causing broncho constriction.
Eosinophils and Th2 cells are part of the picture.

Question 5

What is the atopic triangle?

Answer 5

Asthma, allergies, and eczema

Question 6

Two histo markers of prolonged status asthmaticus?

Answer 6

Curschmann spirals, mucus plugs

Charcot Leyden crystals, eosinophil protein called galectin 10

Question 7

Most common pathogenesis of asthma? What is the triggering event?

Answer 7

Inhaling an allergen that bugs you

Question 8

Most important difference between COPD and asthma he wants us to know?

Answer 8

COPD is usually not reversible and asthma is

Question 9

Young women presents with asthma like symptoms but is not responding to asthma medication and treatment. She is an athlete. What are we thinking the diagnosis is?

Answer 9

Vocal cord dysfunction. Abnormal closure of the vocal cords.

Question 10

What does a volume loop like like in VCD?

Answer 10

Truncated inspiratory loop. Much less depth.

Question 11

What are the two features of an obstructive flow volume curve?

Answer 11

Stopped out and prolonged expiratory.

Question 12

What two things are we prescribing in quick relief/rescue asthma ?

Answer 12

SABA and oral steroids

Question 13

2 meds of choice for long term control treatment of asthma?

Answer 13

ICS and leukotriene modifiers

Question 14

8 signs he wants us to know for a patient who respiratory arrest is imminent?

Answer 14

SOB at rest, cant talk, drowsy/confused, RR greater than 30, unable to lay down, paradoxical breathing, wheeze is gone, and bradycardia.

Question 15

4 things he wants us to know that is intermittent asthma classification?

Answer 15

Symptoms less than or equal to 2 days a week
Symptoms wake you up less than or equal to 2 times per month
Use SABA less than or equal to 2 times per week
Does not interfere with normal activity

Question 16

When we pass any of those, what is the classification of asthma?

Answer 16

Persistent

Question 17

What classification of asthma is 0-1 exacerbation requiring oral steroids?

Answer 17

Intermittent

Question 18

What is 2 or greater events requiring oral steroids, what classification of asthma is that?

Answer 18

Persistent

Question 19

What are the three things we treat an acute asthma attack with?

Answer 19

Oxygen, SABA, and oral steroids

Question 20

What is the key to having an asthma action plan actually working?

Answer 20

Educating the parents and kid or patient if adult

Question 21

What did he say to think of if you have a small kid who is sort of choking and has respiratory symptoms?

Answer 21

Foreign object

Question 22

Medicine of choice for exercise induced asthma?

Answer 22

SABA

Question 23

After taking ICS, what must the patient do and why?

Answer 23

Rinse mouth out because of risk for thrush