asthma

Question 1

what are the 2 processes that lead to asthma

Answer 1

-inflammation
-bronchconstrictionw

Question 2

what are the classic sx

Answer 2

wheezing
breathlessness
tight chest

Question 3

what is FEV1/FVC mean

Answer 3

total air capacity that is forcefully exhaled in 1 second

Question 4

what is the assessment for dx

Answer 4

measure FEV1, give BD, measure FEV1 again
-if FEV inc > 12%= improvement

Question 5

what drugs trigger asthma

Answer 5

non select BB
ASA
NSAIDs

Question 6

what is the preferred rescue drug

Answer 6

low dose ICS + formoterol!!
ex: dulera (mom +form) or symbicort (bud + form)

Question 7

what are other rescue drugs

Answer 7

SABA- albuterol
-steroids and SAMA last line

Question 8

what is the first line maintenance drug

Answer 8

ICS

Question 9

what maintenance drug is an add on and never by itself

Answer 9

LABA
-can inc death risk

Question 10

classifying asthma severity

Answer 10

-intermittent: <2 days/wk
-mild: >2 days but not daily
-mod: daily
sev: several x/day

Question 11

asthma tx algorithm

Answer 11

inter: add ICS
mild: add LABA
mod and sev: inc ICS

Question 12

SABAS are only

Answer 12

PRN

Question 13

proair respiclick (SABA) is what kind of inhaler

Answer 13

dry powder

Question 14

what are the laba options

Answer 14

salmeterol and formetarol

Question 15

labas should only be used with what

Answer 15

ICS

Question 16

what are some se of laba/sabas

Answer 16

dec K
inc BG
nervousness

Question 17

inhaled CS are first line for what

Answer 17

PERSISTENT asthma

Question 18

what are some warnings for ICS

Answer 18

growth retardation
adrenal suppress

Question 19

what are SE of ICS

Answer 19

thrush
inc BG

Question 20

what is the admin difference between MDI and DPI

Answer 20

MDI: slow,deep
DPI: quick, forceful

Question 21

when should montelukast be taken

Answer 21

PM, daily

Question 22

what is a BW of montelukast

Answer 22

neuropsych events

Question 23

montelukast granules can only be mixed with what

Answer 23

breast milk
applesauce
carrots
rice
ice cream

Question 24

theophylline (last line) should be dosed using what weight

Answer 24

IBW

Question 25

what is the active metabolite of theophylline

Answer 25

caffeine

Question 26

what is can toxicity of theophylline cause

Answer 26

seizures arrhythmias

Question 27

what is the tx range of theo

Answer 27

5-15

Question 28

to convert to aminophylline, what is the equatiion

Answer 28

x by 0.8 if A-->T (ATM) / by 0.8 for T--> A

Question 29

what is the mab that is used for mod-sev allergic asthma

Answer 29

xolair

Question 30

for exercise induced, what should you do

Answer 30

rescue inhaler 5-15 mins BEFORE

Question 31

beclomethasone (ICS)

Answer 31

qvar

Question 32

budesonide (ICS)

Answer 32

pulmicort

Question 33

fluticasone (ICS)

Answer 33

flovent

Question 34

salmeterol (LABA)

Answer 34

servevent

Question 35

tiotropium (LAMA)

Answer 35

spiriva

Question 36

bud/form (ICS+LABA)

Answer 36

symbicort

Question 37

flu/salm (ics+laba)

Answer 37

advair

Question 38

mom+ form

Answer 38

dulera

Question 39

fluc/vil

Answer 39

breo