Respiratory Flashcards
1
Q
What is the first step in asthma management for adults?
What medication choices are there?
A
Intermittent reliever therapy
Salbutamol 1-2 puffs four times a day prn
Terbutaline 1 inhalation up to four times a day
2
Q
What is the criteria for beginning maintenance therapy? (3)
A
Using short-acting beta agonist 3+ times a week OR
Symptomatic 3+ times a week OR
Waking at night once a week with asthma symptoms
3
Q
What is the first step for maintenance therapy in adults?
A
Low dose inhaled corticosteroid - up to 400mcg beclomethasone
Clenil 100 2 puffs twice a day
Qvar 50 2 puffs twice a day
4
Q
What can be added to a low-dose ICS if still uncontrolled and how long would this be before stepping up?
A
Leukotriene receptor antagonist - trial for 4-8 weeks then review
