Asthma

Question 1

First-line treatment for asthma?

What are the teaching points when using meds?

Answer 1

Low dose inhaled corticosteriod
“sone” “ ide”

Fluticasone (Flovent)
budesonide (Pulmicort)

Do not stop abruptly, swish with water after use.

Question 2

Step-wise for asthma?

Answer 2

ICS-LABA (can take when symptomatic) Symbicort
ICS daily
ICS-LAMA -leukotriene
Severe (need to refer to pulmonology)
(medium with Laba daily)

Question 3

Step 3 for asthma we can add?

Answer 3

Leukotriene–> singular( montelukast) PO
-produce anti-inflamm and dilation
- it can produce psychiatric, insomnia, aggression, and hallucination.

Question 4

LABA are never used as______?

Answer 4

monotherapy
(COPD can but Asthma pt cannot)