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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

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