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Flashcards in 00 Asthma Deck (60)
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1

What is important to tell asthmatics in regards to reducing respiratory infections?

Get flu shot each year

2

What drug classes can be used in asthma for Quick Relief?

Short Acting Beta-2 Agonist (SABA), Anticholinergics, Systemic corticosteroids

3

What drug classes can be used in asthma for Long-Term Control?

Corticosteroids (inhaled or systemic), Long Acting Beta-2 Agonists (LABA). Alternates: Leukotriene modifiers, Mast cell stabilizers, Theophylline, Omalizumab

4

How many symptoms/week can a patient have to be considered intermittent Asthma?

2 or less days/week

5

How much SABA use can a patient have to be considered intermittent Asthma?

2 or less days/week

6

How much interference with normal activity can a patient have to be considered intermittent Asthma?

None

7

How many exacerbations requiring PO corticosteroids can a patient have to be considered intermittent Asthma?

0-1/year

8

How many symptoms or SABA use can a patient have to be considered Persistent MILD Asthma?

> 2 days/week but not daily

9

How many symptoms or SABA use can a patient have to be considered Persistent MODERATE Asthma?

Daily

10

How many symptoms or SABA use can a patient have to be considered Persistent SEVERE Asthma?

Throughout the day

11

What kind of asthma does someone have if they are in Step 1?

Intermittent Asthma

12

What kind of asthma does someone have if they are in Step 2?

Mild Persistent Asthma

13

What kind of asthma does someone have if they are in Step 3 or 4?

Moderate Persistent Asthma

14

What kind of asthma does someone have if they are in Step 5 or 6?

Severe Persistent Asthma

15

What is the treatment of choice for all ages who are in Step 1?

SABA PRN

16

What is the treatment of choice for all ages who are in Step 2?

ICS (Low Dose)

17

What is the treatment of choice for all ages who are in Step 3?

ICS (Medium Dose). For ages 5+ you could use ICS (Low Dose) + LABA as another preferred regimen

18

What is the treatment of choice for all ages who are in Step 4?

ICS (Medium Dose) + LABA

19

What is the treatment of choice for all ages who are in Step 5?

ICS (High Dose) + LABA

20

What is the treatment of choice for all ages who are in Step 6?

ICS (High Dose) + LABA + Oral CS

21

Which beta-blockers can precipitate bronchospasm in patients with asthma, and can decrease SABA's bronchodilating effect?

Non-selective BB's (Propranolol, Timolol)

22

What is the generic name of Ventolin HFA?

Albuterol (SABA)

23

What is the generic name of Proventil HFA?

Albuterol (SABA)

24

What is the generic name of Proair HFA?

Albuterol (SABA)

25

How is Albuterol dosed?

90mcg/puff. 2 puffs Q4-6h PRN or EIB: 2 puffs 5 mins prior

26

What is the generic name of Xopenex?

Levalbuterol HFA (SABA)

27

How is Levalbuterol dosed?

45mcg/puff. 2 puffs Q4-6h PRN or EIB: 2 puffs 5 mins prior

28

What are the corticosteroids used for short term control (3-10 days)?

Methylprednisolone (Medrol), Prednisolone, Prednisone

29

How are the corticosteroids dosed for short term control (3-10 days)?

7.5-60mg daily QAM x5 days, QAM or QOD as needed for control

30

What are the consequences of chronic steroid use?

PREDNISONE: PUD, Redistribution of fat, Electrolyte, Diabetes, Na or water retention, Insomnia/Immunosuppression, Skin thinning, Osteoporosis, Neuro (euphoria/depression), Eyes/cataracts