Flashcards in Respiratory Disorders Deck (17)
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1
Three methods to prevent asthma exacerbations
1) Control of triggers
2) Smoking Cessastion
3) Immunization
2
Drug used for provocative asthma testing
Methacholine
3
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
4
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
5
Adjunctive Medication for Rhinitis & Nasal Polyps
Nasal corticosteroid (avamys, etc)
6
Four therapies for acute asthma exacerbations
SABA, Systemic CS, Inhaled anticholinergics, O2
7
At what age can you diagnose asthma in a child?
Kids >3y/o
8
In kids, what's a predictor of persistent asthma?
Atopy
9
How do you differentiate Asthma and COPD (spirometry)
Asthma is reversible after SABA administration
10
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
11
What must you always add to LABA therapy and why?
ICS d/t increase mortality when using LABA alone
12
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
13
Treatment of Acute COPD exacerbations (4)
1) Bronchodilators
2) ABX
3) Systemic CS
4) O2
14
Key symptoms seen with COPD (2)
SOB and activity limitation
Slow manifestation
15
What 2 things are required to establish diagnosis of COPD?
1) FEV/FVC ration <80% of predicted value
16
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
17
