Asthma

Question 1

Every asthmatic should be prescribed a ____, which is ______

Answer 1

rescue inhaler, which is PRN low-dose ICS-formoterol (LABA)

Question 2

What is treatment for intermittent asthma?

Answer 2

Step 1 -
PRN low dose ICS-formoterol

also could do (from current) = low dose ICS daily + SABA PRN or combo ICS+SABA PRN

Question 3

What is treatment for mild asthma?

Answer 3

Step 2, which is the same as Step 1

PRN low dose ICS-formoterol

also could do (from current) = low dose ICS daily + SABA PRN or combo ICS+SABA PRN

Question 4

What is treatment for moderate asthma?

Answer 4

Step 3

combo low dose maintenance ICS-formoterol daily + when needed

Question 5

What is treatment for severe asthma?

Answer 5

Step 4: combo medium dose ICS-formeterol daily and as needed

Step 5:
medium-high dose ICS-formoterol + LAMA* (current said to also add LABA and SABA PRN if wanted)

Question 6

How do you treat severe asthma exacerbations?

Answer 6

maintain airway! oxygen + high dose inhaled SABA (albuterol) and can add SAMA (ipratropium) + systemic steroids (metnylprednisolone) + IV magnesium sulfate

consider abx if infections

Question 7

When should you follow up for reevaluation of asthma treatment?

Answer 7

2-3 months or if patient is not doing well

Question 8

At what step number do you send an asthma pt to a pulmonologist?

Answer 8

step 5

Question 9

What improves medication delivery in asthma?

Answer 9

spacer technique