Respirology

Question 1

Pulse ox below what is associated with increased asthma morbidity

Answer 1

92

Question 2

risk factors for asthma ICU admission and death

Answer 2

previous life threatening events, admissions to ICU adn intubation
hospitalizations or ED visit in last year
deterioation while or or recently after stopping systemic steroids
using over 1 cannister of ventolin per month
lack of asthma action plan or poor adherence to treatment
comorbidities
low SES

Question 3

PRAM score components

Answer 3

air entry
wheezing
accessory muscle use
oxygen saturation

Question 4

What is preferred delivery method for ventolin

Answer 4

MDI better than nebulizer

Question 5

is there evidence of clinicall significant arrhythmias from ventolon

Answer 5

no

Question 6

Benefit of adding strovent

Answer 6

reduce hospital admission, improve lung function and decrease nause and tremor

Question 7

when to give steroid for asthma

Answer 7

within one hour

Question 8

evidence for systemic steroids in asthma exacerbation

Answer 8

reduce hospitalization, risk for relapse decreased and facilitate earlier discharge

Question 9

SE of mag sulfate

Answer 9

hypotension and bradycardia

Question 10

evidence for IV ventolin

Answer 10

to preent intubation

Question 11

agent of choice for induction in ashtma requiring intubation

Answer 11

ketamine

Question 12

is it recommended to double the dose of ICS when sick

Answer 12

no

Question 13

what is advnatge of dex over pred

Answer 13

less vomiting