asthma Flashcards

1
Q

What is asthma

A

a chronic respiratory condition characterized by inflammation and narrowing of the airways in the lungs

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2
Q

What are some symptoms of asthma

A

wheeze

cough

shortness of breath

chest tightness

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3
Q

aside from medicine how can some symptoms of asthma be relieved

A

by avoiding triggers

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4
Q

what are some examples of asthma triggers

A

pollen
pet dander
smoking

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5
Q

what tests should we do when someone is undergoing an acute exacerbation of asthma

A

do their peak expiratory flow rate and test there forced expiratory volume

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6
Q

what are some non pharmacological management options for the treatment of asthma

A

avoid triggers

stop smoking

lose weight

carry out breathing exercises

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7
Q

what are some tests we may do when diagnosing asthma

A

peak flow
spirometry
blood gases
pulse oximetry
FeNo test

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8
Q

what are the two different types of management for asthma

A

acute

chronic

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9
Q

what type of situation would we be treating using acute management

A

when there has been some form of emergency

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10
Q

how might we stabilize a patient who is undergoing an acute exacerbation of asthma

A

o2

nebulised bronchodilators

steroids

prednisolone 40mg x5

iv magnesium sulphate

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11
Q

at what value do we offer iv magnesium sulfate

A

if <50 or predicted to be <50

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12
Q

what is the main idea behind chronic treatment

A

to prevent an acute exacerbation of asthma

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13
Q

name two short acting beta 2 agonists

A

theophyline
salbutamol

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14
Q

name two short acting antimuscarinics

A

ipratropium
bromide

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15
Q

name two long acting antimuscarinics

A

tiotropium bromide
aclidenum bromide

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16
Q

name two long acting beta 2 agonists

A

salmeterol
formoterol

17
Q

what are two symptoms of overuse of LABAs

A

hypokalaemia
tremor

18
Q

what are some examples of inhaled corticosteroids

A

beclametasone
budesonide
fluticasone

19
Q

what ics is qvar

A

beclametasone

20
Q

what ics is clenil

A

beclametasone

21
Q

what ics is pulmicort

A

budesonide

22
Q

what ics is flixotide

A

fluticasone

23
Q

what is the more potent beclametasone inhaler qvar or clenil

A

qvar

qvar 50mcg = 100mcg

24
Q

name a leukotrine receptor antagonist

A

montelukast

25
what is 1st line for a patient over 12
AIR therapy which is ICS + LABA
26
what is an example of AIR therapy
beclametasone + formoterol inhaler
27
what is 2nd line for a patient over 12
MART therapy which is the same but at specific timings rather than as required