Adult Asthma Flashcards
(9 cards)
1
Q
Sputum smear pathological finding in Asthma
A
Curschmann spirals
2
Q
Asthma Severe
A
PEFR 33-50%
RR >=25
HR >=110
inability to complete sentences in 1 breath
3
Q
When to initiate ICS for asthma patient?
A
When asthma Sx
- Occur > 3x weekly
- At night
Can initiate SABA + ICS as initial Tx
4
Q
O SHIT ME
Acute asthma attack Mx
A
- O2
- SABA/SAMA Nebs back-to-back
- PO prednisolone OR IV Hydrocortisone
- IV MgSO4 OR Aminophyline
- Intubation and Ventilation
5
Q
Asthma O2 sat target range
A
94 - 98%
6
Q
NICE guideline
Timeframe for acute asthma attack follow-up
A
Within 2/7 of discharge
- Assess Sx
- Review inhaler technique and current Mx
7
Q
Asthma Fatal
A
- PEFR < 33%
- SATS < 92%/ PaO2 < 8kPa
- high pCO2 (tiring from their respiratory effect and is no longer effectively blowing off their CO2 when expires)
8
Q
Asthma moderate
A
PEFR of 50-75%
speak in full sentences
no resp distress
9
Q
Asthma Life-threatening
A
- PEFR < 33%
- Sats. < 92%
- PaO2 < 8kPa,
- normal pCO2 (4.6-6kPa), poor respiratory effort (signs of exhaustion)
- silent chest
