38. Asthma

Question 1

**s/s asthma

Answer 1

• *- dry cough & wheezing
• breathing through the mouth
• chest pressure
• increased HR
• throat irritation

Question 2

Step 1

Answer 2

SABA PRN - for environmental/exercise/virus/allergy

Question 3

Step 1 SABA (short-acting beta agonist) PRN is safe and recommended….

Answer 3

• during pregnancy

- for babies/kids (they should use nebs not inhalers)

Question 4

Types of SABA

Answer 4

• albuterol (salbutamol, proventil, ventolin)

- lebalbuterol (xopenex)

Question 5

Step 2

Answer 5

Low dose ICS (inhaled corticosteroids) or alternatives - for worsening resp s/s from asthma and/or nighttime awakening/SOB

Question 6

Step 3

Answer 6

Medium-dose ICS or SABA + low-dose

Question 7

cons to step 3

Answer 7

may stunt teen growth

Question 8

Step 6

Answer 8

oral corticosteroids for acute exacerbations (all-day coughing/wheezing)

Question 9

example of oral corticosteroid

Answer 9

prednisone

Question 10

example of Leukotriene receptor antagonist

Answer 10

montelukast (singulair)

Question 11

example of mast cell stabilizer

Answer 11

cromolyn (intal)

Question 12

example of long-acting beta agonist

Answer 12

• salmeterol (sarevent)
• formoterol (foradil, perforomist)
• indacaterol (arcapta)

Question 13

example of ICS + LABA

Answer 13

• fluticasone/salmaterol = Advair
• fluticasone/vilanterol = Breo-Ellipta
• budesonide/formoterl = Symbicort
• mometasone/formoferol - Dulera