L3: Bronchial Asthma Flashcards

(40 cards)

1
Q

Cells Responsible for acute asthma

A

Mast Cells

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2
Q

Cells Responsible for Chronic asthma

A

Eosinophils

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3
Q

Cells Responsible for Exacerbation iof Asthma

A

Mast Cells

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4
Q

Cells Responsible for Airway Remodiling

A

Eosinophils

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5
Q

Clinical clues in diagnosis of asthma

A
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6
Q

Management of Bronchial Asthma

A
  • Determine type of patient (naïve or on controller)
  • Determine level of control.
  • 5 steps of treatment according to level of control.
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7
Q

Management of Bronchial Asthma

  • Determine Type of Patient
A
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8
Q

Determine Type of Patient in Bronchial Asthma

  • Naive
A
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9
Q

Determine Type of Patient in Bronchial Asthma

  • On Controller
A
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10
Q

Determine Level of Control in Bronchial Asthma

A
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11
Q

Determine Level of Control in Bronchial Asthma

  • Controlled
A
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12
Q

Determine Level of Control in Bronchial Asthma

  • Partially Controlled
A
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13
Q

Determine Level of Control in Bronchial Asthma

  • Uncontrolled
A
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14
Q

Duration of treatment in acute attack of Bronchial asthma

A
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15
Q

Pharmacologic TTT of Bronchial Asthma

A
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16
Q

Pharmacologic TTT of Bronchial Asthma

  • Reliever (Rescue) Medications
A
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17
Q

Pharmacologic TTT of Bronchial Asthma

  • Controller Medications
18
Q

MOA of ICS in Bronchial Asthma

A
  • Block late asthmatic response to allergens
  • ⇣⇣ airway hyper responsiveness
  • ⇣⇣ cytokine production
  • ⇣⇣ adhesion protein activation
  • ⇣⇣inflammatory cell migration & activation.
  • Reverse β2 receptor down regulation and sub sensitivity
19
Q

MOA of Leukotriene Modifiers in Bronchial Asthma

A

Either 5-lipoxygenase inhibitors / leukotriene-receptor antagonists

20
Q

Indications of Leukotriene Modifiers in Bronchial Asthma

A

They are add on therapy or alternative to steroids

21
Q

MOA of Monoclonal anti-IgE Ab in Bronchial Asthma

A

Binds selectively to human IgE on surface of mast cells and basophils.

22
Q

Indications of Monoclonal anti-IgE Ab in Bronchial Asthma

A
  • Indicated for moderate – severe persistent asthma in whom symptoms are not controlled by ICS
23
Q

Indications of Inhaled corticosteroid in Bronchial Asthma

A

◈ long-term control of symptoms

◈ Suppression, control, and reversal of inflammation

24
Q

Indications of Systemic corticosteroid in Bronchial Asthma

A

◈ Short courses (3 – 10 d) —-> Control of acute asthmatic episodes

◈ Long-term prevention of symptoms in severe persistent asthma

25
TTT of **Bronchial Asthma** - Step 1
26
TTT of **Bronchial Asthma** - Step 2
27
TTT of **Bronchial Asthma** - Step 3
28
TTT of **Bronchial Asthma** - Step 4
29
TTT of **Bronchial Asthma** - Step 5
30
Allergen-specific Immunotherapy
31
Def of **Asthma Exacerbation**
32
Def of **Status asthmaticus**
33
CP of **Asthma Exacerbation**
34
CP of **Asthma Exacerbation** - Common Symptoms
35
CP of **Asthma Exacerbation** - Vitals
36
CP of **Asthma Exacerbation** - Signs of Bronchoconstriction
37
CP of **Asthma Exacerbation** - Increased WOB
38
TTT of **Asthma Exacerbation**
39
TTT of **Asthma Exacerbation** - If no response
40
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