Respiratory Pharmacology Flashcards
1
Q
How do you know when asthma is controlled?
A
- minimal symptoms during day and night
- minimal need for reliever medication
- no exacerbations
- no limitation of physical activity
- normal lung function
2
Q
What is the aim for asthma control?
A
early control with stepping up or down as required
3
Q
What do you need to think about before stepping up or down?
A
- adherence of patient
- inhaler technique
- eliminate trigger factors
4
Q
What is uncontrolled asthma?
A
-asthma that has an impact on a person’s lifestyle or restricts their normal activities
5
Q
What are the symptoms of uncontrolled asthma?
A
coughing
wheezing
SOB
chest tightness
6
Q
What are the guidelines to define uncontrolled asthma?
A
- 3 or more days a week with symptoms
- 3 or more days a week with use of SABA for symptomatic relief
- 1 or more nights a week with waking up due to asthma
7
Q
What is LTRA? ICS? SABA? LABA?
A
- Leukotriene receptor antagonist
- Inhaled corticosteroid
- short acting b agonist
- long acting b agonist
8
Q
What is the issue between LTRA and LABA?
A
NICE suggests adding LTRA after low dose ICS but BTS/SIGN suggests LABA
-LTRA is cheaper than LABA but most patients end up on LABA anyway
