Asthma Flashcards

1
Q

which part of lungs are affected in asthma

A

bronchioles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what medications can trigger asthma

A

NSAIDs
aspirin
BBs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what 3 tests can be used for asthma diagnosis

A

spirometry
peak flow
FeNO test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

when in the day is peak flow readings lower in asthma

A

lower in mornings than evenings

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what is the pattern of peak flow readings in asthmatics and how can this be recorded

A

peak flow diary

low and variable over several days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what is FEV1

A

the amount of air you can blow out in 1 second

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what is FVC

A

the total amount of air you can blow out in one breath

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

how are FVC and FEV1 used in asthma diagnosis

A

FEV1:FVC ratio calculated
if it is low you have narrowed airways

then given reliever inhaler
if FEV1:FVC improves this is typical of asthma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

does a normal FEV1:FVC ratio rule out asthma

A

no
could be that the person does not have symptoms at the time of testing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what is the FeNO test and what does it measure

A

fractional exhaled nitrous oxide test
measures levels of nitric oxide in breath

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what are FeNO results in asthma

A

increased nitrous oxide exhaled due to lung inflammation and asthma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

how is asthma managed in under 5s

A

they can’t be diagnosed as they can’t carry out the tests
so are treated based on symptoms until old enough to diagnose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

when is a preventer inhaler advised

A

if reliever is required more than 3 times a week

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what type of drug is a preventer inhaler

A

often a steroid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

MoA of reliever inhaler

A

relaxes muscle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

MoA of preventer inhaler

A

reduced inflammation

17
Q

when is a long acting bronchodilater used

A

in addition to a preventer

18
Q

what are leukotriene receptor antagonists used for

A

in those with asthma triggered by allergic reaction

19
Q

which should be added first
long acting bronchodilator inhaler
or leukotriene receptor antagonist tablets

A

LTRAs

20
Q

what can be used for a severe or prolonged asthma attack

A

short course of steroids

21
Q

principle for dosing for asthma

A

lowest dose that prevents symptoms