Asthma management in adults Flashcards
What medication should someone newly diagnosed with asthma be started on?
Short-acting beta agonist (SABA)
What are exmplaes of SABA’s?
Salbutamol
Terbutaline
What medicaiton would you add if symptoms not controlled with SABA or symptoms 3x week/ night-time waking?
Low-dose inhaled corticosteroid (ICS)
What are examples of ICS?
Beclometasone
Budesonide,
Ciclesonide
What medication could you add if asthma is still not controlled with SABA and ICS? (third step)
Leukotriene receptor antagonist (LTRA)
What is an example of a leukotriene receptor antagonist?
Montelukast
What might you add if the asthma is still not controlled on SABA, ICS and LTRA? (fourth step)
Long-acting beta agonist (LABA)
What are exmaples of LABA?
Salmeterol
Formoterol
Olodaterol
What is the fifth step in the management of asthma if it still not controlled on SABA, ICS, LTRA and LABA?
SABA +/- LTRA
Switch ICS/LABA for a maintenance and reliever therapy (MART), that includes a low-dose ICS
What should you switch ICS/LABA for in the fifth step in the managemen of asthma?
Switch ICS/LABA for a maintenance and reliever therapy (MART), that includes a low-dose ICS
What does MART stand for?
Maintenance and reliever therapy (MART)
What is a MART composed of?
A form of combined ICS and LABA treatment in a single inhaler
What is a MART used for?
Daily maintenance therapy and the relief of symptoms as required
What is classed as a low dose of ICS?
<= 400 micrograms budesonide or equivalent
What is classified as a moderate dose of ICS?
400 micrograms - 800 micrograms budesonide or equivalent
