3: Asthma Management

Question 1

Which of the following is not a goal for asthma therapy?

• Control asthma and reduce impairment through prevention of chronic and troublesome symptoms.
• Reduce need for short-acting beta2-agonist (SABA) for quick relief of symptoms.
• Maintain normal pulmonary function.
• Maintain normal activity levels.
• Satisfy patients’ and families’ expectations for asthma care.

Answer 1

Maintain near-normal pulmonary function.

Question 2

What are the 4 components of care for asthma management?

Answer 2

1. Assessment and monitoring.
2. Education.
3. Control of environmental factors and comorbid conditions.
4. Pharmacologic treatment.

Question 3

Frequency and intensity of symptoms and the functional limitations associated with symptoms.

Answer 3

Impairment Assessment

Question 4

Likelihood of asthma exacerbations, adverse effects from medications, and likelihood of the progression of lung function decline.

Answer 4

Risk Assessment

Question 5

How often is spirometry measured?

Answer 5

Every 1-2 years or more frequently for uncontrolled asthma.

Question 6

How often do you follow up with asthma?

Answer 6

Every 2-6 weeks when gaining control and then every 1-6 months.

Question 7

How do vitamin D levels help with asthma control?

Answer 7

1. Enhance corticosteroid responses
2. Control atopy
3. Improve asthma control

Question 8

Which meds are relief agents?

Answer 8

1. SABAs
2. Systemic corticosteroids
3. Ipratropium (anticholinergic)

Question 9

Asthma _____ dictates initial therapy and level of asthma _____ dictates adjustment of therapy.

Answer 9

Asthma severity** dictates initial therapy and level of asthma **control dictates adjustment of therapy.

Question 10

What level of SABA use indicates the potential need to step up treatment?

Answer 10

More than 2 days/week.