Resp Flashcards
Asthma Tx peds
SABA always PRN
1st line : ICS+ SABA PRN
2nd line: low dose ICS reg +
3rd line: medium dose ICS reg OR low dose ICS-LAMA
4th line: med dose ICS-LABA OR low dose ICS-foroterol
5th line: Refer
(LTRA + biologics)
ASthma Tx adults
ALWAYS low dose ICS-formoterol PRN
1st-2nd line: ICS-Formoterol PRN
3rd line :low dose ICS-formoterol reg
4th line: med dose ICS-formoterol reg
5th line: +LAMA refer
Asthma RFs
eczema
allergies
ASthma Dx
- FEV1/FVC <0.75-8 adults <0.9 peds & increase in FEV1 12% (min 200 ml change) post bronchodilators
- postive exercise challenge
Asthma sx control
> 2 daytime symptoms
reliver use > 2/week
night time waking due to asthma
COPD Dx
FEV1/FVC <0.7 post-bronchodilator
COPD Tx
SABA PRN always
1st line: LAMA or LABA
2nd line: LAMA/LABA or LAMA/LABA/ICS
3rd line: LAMA/LABA/ICS or + PDE-4 inhibitors/mucolytic agents/ prohpylactic macrolide