Asthma Flashcards

1
Q

What is asthma?

A

Narrowing of airways due to smooth muscle contraction, thickening of the airway wall and inflammation.

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2
Q

What triggers asthma?

A

Occupational sensitisers: wood, dust, bleach
cold air, exercise, diet, drugs

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3
Q

What are the signs and symptoms of asthma?

A

Dyspnoea, wheeze, cough, sputum, symptoms worse at night, SOB

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4
Q

Investigations?

A

Lung function tests eg. PEFR
skin prick test to identify trigger

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5
Q

What are the stages of asthma exacerbation severity

A

moderate: 50-75% PEFR
acute severe: 33-50% PEFR
life threatening: PEFR< 33%

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6
Q

Management?

A

Immediate: oxygen, nebulised 5mg salbutamol
Beta-2-agonists eg. SABA (salbutamol), LABA (salmeterol)
Muscarinic antagonists eg. SAMA (ipratropium), LAMA (tiotropium)
Inhaled corticosteroids

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7
Q

Treatment guidelines?

A

SABA
SABA + ICS
SABA + LABA +ICS
SABA + LABA + ICS +4th drug

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