Respiratory Disorders Flashcards
(17 cards)
Three methods to prevent asthma exacerbations
1) Control of triggers
2) Smoking Cessastion
3) Immunization
Drug used for provocative asthma testing
Methacholine
Name Meds in the Following Classes
1) Short Acting Beta2 Agonist (SABA)
2) Inhaled Corticosteroids (ICS)
3) Long Acting Beta2 Agonist (LABA)
4) Leukotriene Receptor Antagonist (LRTA)
5) Anticholinergics
6) Combo ICS + LABA
7) Combo Anticholinergic + SABA
1) Salbutamol (Ventolin, Airomir), Terbutaline (Bricanyl)
2) Fluticasone (Flovent), Budenoside (Pulmacort), Qvar
3) Formoterol (Oxeze, Foradil), Salmeterol (Serevent)
4) Montelukast (Singulair),
5) Atrovent, Spiriva
6) Advair, Symbicort
7) Combivent
Six steps of pharmacotherapy for Asthma
1) SABA PRN for intermittent symptoms
2) Add ICS (low dose)
3) Add LABA (sl-LTRA)
4) High dose ICS + LABA
5) Oral prednisone
6) Anti-IgE therapy
Adjunctive Medication for Rhinitis & Nasal Polyps
Nasal corticosteroid (avamys, etc)
Four therapies for acute asthma exacerbations
SABA, Systemic CS, Inhaled anticholinergics, O2
At what age can you diagnose asthma in a child?
Kids >3y/o
In kids, what’s a predictor of persistent asthma?
Atopy
How do you differentiate Asthma and COPD (spirometry)
Asthma is reversible after SABA administration
Parameters for Determining Acceptable Asthma Control
1) Daytime Symptoms
2) Nightime Symptoms
3) Physical Activity
4) Exacerbations
5) School or Work Absence
6) Need for SABA
7) FEV1 or PEF
1) 90% of personal best
What must you always add to LABA therapy and why?
ICS d/t increase mortality when using LABA alone
Five steps of pharmacotherapy for COPD
1) SABA +/- regularly schedules short acting anticholinergic
2) SABA + Long acting inhaled anticholinergic
3) SABA + LABA + Long acting inhaled anticholinergic
4) ICS if exacerbations occur
5) Theophiline
Treatment of Acute COPD exacerbations (4)
1) Bronchodilators
2) ABX
3) Systemic CS
4) O2
Key symptoms seen with COPD (2)
SOB and activity limitation
Slow manifestation
What 2 things are required to establish diagnosis of COPD?
1) FEV/FVC ration <80% of predicted value
Tuberculosis
1) Chronic bacterial infection caused by Mycobacterium tuberculosis
2) Person with latent TB does not have active disease and is not contagious
3) Pt w/ positive TB skin tests should have chext x-ray to r/o active disease
4) Causes malaise, wt loss, fever, night sweats, & chronic cough
5) Treat latent TB
Community Acquired Pneumonia
1) Most common cause of death from infectious disease
2) Majority caused by S. Pneumoniae, but also caused by H. Ingluenzae & rarely Legionella spp.
3) Symptoms include cough, dyspnea, sputum production, & pleuritic chest pain
