Respiratory

Question 1

When should a theophylline level be taken

Answer 1

4-6 hours after dose

Question 2

What is the therapeutic range of theophylline?

Answer 2

10-20 mg/L

Question 3

When is asthma considered uncontrolled?

Answer 3

If using SABA 3x/week, symptoms 3x/week, night time wakening at least once a week or using >1 inhaler per month

Question 4

What is the pathway for asthma maintenance therapy in adults?

Answer 4

SABA > if uncontrolled SABA + ICS > SABA + ICS + LRTA/LABA > ensure LABA > ^ ICS or specialist input!

Question 5

What is considered moderate asthma attack

Answer 5

peak flow >50%
Sp02 >92%
Can speak fine
RR <40 under 5 , <30 over 5

Question 6

What is considered a severe asthma attack

Answer 6

Peak flow 33-50%
Can’t speak
RR >25 adults, >30 children over 5, >40 children under 5
heart rate >125 iver5
>140 under 5

Question 7

What is considered a life threatening asthma attack

Answer 7

Peak flow <33%
SpO2 <92%
LOC
Cyanosis
Silent chest
Inability to speak
Hypotension
Etc

Question 8

What is given to everybody after an asthma attack in hospital

Answer 8

3 days pred

Question 9

What is given in a near death experience (adults) from asthma attack

Answer 9

IV aminopylline

Question 10

What age should you be to have tiotropium?

Answer 10

12+

Question 11

How do we drop down an ICS?

Answer 11

When controlled for >3 months then drop down by 25-50% every 3 m

Question 12

What is complete asthma control?

Answer 12

No daytime synptoms
No night time wakening
No asthma attacks
No rescue medication
No limits on exercise
Minimal side effects from treatment