Asthma treatment Flashcards Preview

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Flashcards in Asthma treatment Deck (15)
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1
Q

What is step 1 of the adult asthma management plan?

A

salbutamol (SABA) PRN - intermittent asthma

2
Q

What is step 2 of the adult asthma management plan?

A

low dose ICS (e.g. beclometasone or budesonide)

3
Q

What is step 3 of the adult asthma management plan?

A

Add on LABA (e.g. salmeterol)

4
Q

What is step 4 of the adult asthma management plan?

A

No response to LABA: Increase ICS

If benefit from LABA but control still inadequate – continue LABA and increase ICS to medium dose

If benefit from LABA but control still inadequate - continue LABA and ICS and consider trial of other therapy - LTRA (montelukast), SR theophylline, LAMA (tiotropium bromide)

5
Q

What is step 5 of the adult asthma management plan?

A

Increase ICS to high dose

OR Addition of a fourth drug, eg LTRA,
SR theophylline, beta agonist tablet (e.g. albutarol), LAMA

REFER TO SPECIALIST

6
Q

What is step 6 of the adult asthma management plan?

A

Use daily steroid tablet in the lowest dose providing adequate control

maintain high dose ICS

Consider other treatments to minimize use of steroid tablets

REFER TO SPECIALIST

7
Q

When should someone be moved up a step in asthma management?

A

If they are using their salbutamol inhaler 3 or more times a week

8
Q

If an asthmatic patient has IgE (allergic type) asthma, what drug can be given?

A

Omalizumab

9
Q

What is steps of the adult asthma management plan needs referral to a specialist?

A

5 + 6

10
Q

What is step 1 of the child asthma management plan?

A

SABA

11
Q

What is step 2 of the child asthma management plan?

A

> 5: very low dose ICS (paeds dose)

<5: LTRA

12
Q

What is step 3 of the child asthma management plan?

A

ICS +

> 5: LABA (salmeterol)

<5: LTRA

13
Q

What is step 4 of the child asthma management plan?

A

No response to LABA/LTRA - stop LABA/LTRA and increase dose of ICS to low dose

If benefit from LABA/LTRA but control still inadequate – continue LABA and increase ICS to low dose

If benefit from LABA but control still inadequate - continue LABA and ICS and consider trial of other therapy - LTRA

14
Q

What is step 5 of the child asthma management plan?

A

Increase ICS to medium dose

OR Addition of a fourth drug – SR theophylline.

REFER TO SPECIALIST

15
Q

What is step 6 of the child asthma management plan?

A

Use daily steroid tablet in the lowest dose providing adequate control

Maintain medium-dose ICS

Consider other treatments to minimize use of steroid tablets

REFER TO SPECIALIST