Asthma Flashcards

1
Q

most common type of asthma?

A

allergic asthma

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2
Q

antigen exposure to the bronchial mucosa- initiates airway hyperresponsiveness- which phase of asthma?

A

early asthmatic response

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3
Q

immune activation- which phase of asthma?

A

early asthmatic response

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4
Q

What immunoglobulin is involved in the early asthmatic response?

A

IgE

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5
Q

IgE causes what two things to happen in early asthmatic response?

A

(1) mast cell degradation and (2) inflammatory mediator release

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6
Q

what are the three inflammatory mediators released in the early asthmatic response?

A

(1) histamine (2) prostaglandins (3) leukotrienes

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7
Q

inflammatory mediators in early asthmatic response cause increase or decreased capillary permeability?

A

increased

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8
Q

mucosal edema seen in which phase of asthma?

A

early asthmatic response

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9
Q

bronchial smooth muscle contraction (bronchospasm) is caused by what in the early asthmatic response?

A

inflammatory mediators

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10
Q

tenacious mucous secretion from mucosal goblet cells with narrowing and obstruction to airway- which phase of asthma?

A

early asthmatic response

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11
Q

what cells secrete tenacious mucous in early asthmatic response?

A

mucosal goblet cells

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12
Q

when does late asthmatic response begin?

A

a few hours after the early response

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13
Q

release of toxic neuropeptides contribute to increased bronchial hyperresponsiveness- which phase asthma?

A

late asthmatic response

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14
Q

impaired expiration causes air trapping- which phase of asthma?

A

late asthmatic response

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15
Q

what do toxic neuropeptides contribute to in late asthmatic response?

A

increased bronchial hyperresponsiveness

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16
Q

what causes air trapping in late asthmatic response?

A

impaired expiration

17
Q

hyperinflation distal to obstructions in late asthmatic response is caused by what?

A

impaired expiration

18
Q

increased work of breathing seen in which asthma phase?

A

late asthmatic response

19
Q

respiratory alkalosis seen in which asthma phase?

A

late asthmatic response

20
Q

what is the acid-base imbalance of late asthmatic response?

A

respiratory alkalosis

21
Q

increased pH seen in which phase of asthma?

A

late asthmatic response

22
Q

Ph is increased or decreased in late asthmatic response?

23
Q

PaCO2 is increased or decreased in late asthmatic response?*****

24
Q

hypoxemia in late asthmatic response further increases WHAT?

A

hyperventilation

25
bronchospasms become more and more severe- what asthma phase?
status asthmaticus
26
with progressive obstruction of expiratory airflow, air trapping becomes more severe- what asthma phase?
status asthmaticus
27
lungs and thorax become hyperexpanded- what asthma phase?
status asthmaticus
28
fall in tidal volume with increasing CO2 retention- what asthma phase?
status asthmaticus
29
what is the acid-base imbalance seen in status asthmaticus?
respiratory acidosis
30
respiratory acidosis is seen in which asthma phase?
status asthmaticus
31
respiratory acidosis signals what in asthma response?
respiratory failure
32
ventilation is severely impaired, little air exchange is taking place, "silent chest"- which asthma phase?
status asthmaticus
33
tidal volume is increased or decreased in status asthmaticus?
decreased
34
CO2 retention is increased or decreased in status asthmaticus?
increased