PT HAS MODERATE PERSISTENT ASTHMA
WAKES UP WITH NIGHT TIME SX
WEEKLY
WHAT MEDS SHOULD SHE BE ON
MODERATE PERSISTENT ASTHMA
=
STAGE 3
=
3
... [Show More] MEDS
=
ALBUTEROL
ICS
+
LABA
PT SUSPECTED OF HAVING
EXERCISE INDUCED ASTHMA
Baseline pulmonary function testing reveals an FEV1=
of 3.1 L
IF PFT IS DONE AFTER EXERCISE
=
WHAT measurements OF FEV1 after exercise would support a diagnosis ofexercise-induced bronchospasm?
FEV1 <2.5
15% decrease in FEV1
after exercise is COMPATIBLE WITH DIAGNOSIS OF
EXERCISE INDUCE ASTHMA
Airflow obstruction is defined as an FEV1
/FVC ratio
LESS THAN
70%.
Airway REVERSIBILITY is defined as
an increase in FEV1 or FVC
=
BY HOW MUCH
12%
WHICH ASTHMA MEDS ARE ASSOCIATED WITH BONE LOSS
BOTH INHALED
AND
ORAL
CORTICOSTEROIDS
WHAT IS
most common acid/base abnormality in the early stages
of an asthma exacerbation?
RESPIRATORY ALKALOSIS
HYPERVENTILATION
=
LOW CO2= HIGH PH- ALKALOSIS
WHICH ASTHMA MEDICATION
=
most effective asthma agent
for preventing exacerbations,
ICS
WHAT IS TX OF CHOICE FOR
aspirin-induced asthma
LEUKOTRIENCE INHIBITORS
=
Montelukast
PT WITH ASTHMA LIKE SX
+
RHINITIS
+
NASAL POLYPS
TOW
ASPIRIN INDUCED ASTHMA
WHICH NSAID CAN BE USED INSTEAD OF ASPIRIN
IN PT WITH
ASPIRIN INDUCED ASTHMA
SALSALATE
CAN ALSO
USE
TYLENOL
PT ADMITTED FOR ASTHMA EXACERBATION
According to National Asthma Education and Prevention Program guidelines, hospital
discharge can be considered in this patient
=
once the peak flow rate rises above a threshold
of
>420
In patients with inadequately controlled asthma,
OPTIMAL MANAGEMENT OF WHAT OTHER
COMORBIDITIES
CAN HELP GET BETTER CONTROL OF ASTHMA
GERD
ALLERGIC RHINITIS
OSA
ALLERGIC bronchopulmonary aspergillosis
ARE USE OF
ICS
SAFE FOR PREGNANT PTS WITH ASTHMA
YES
Long-acting inhaled β-agonists are
less likely to be effective in which one of the following
ethnic groups?
AFRICAN AMERICANS
USE OF LABA INHALERS (salmeterol etc)
HAVE HIGH RISK OF WHAT
severe asthma exacerbations
NEVER PRESCRIBE
MONOTHERAPY OF LABA INHALERS
SHOULD ALWAYS BE USED WITH OTHER INHALERS LIKE ICS
Chronic low- to medium-dose inhaled corticosteroid use in children is associated with
NO LONGTERM ADVERSE AFFECT
WRONG ANS=
B) a significant reduction in bone mineral density
Symptoms suggesting that respiratory
arrest may be imminent in patients with a severe asthma exacerbatioN INCLUDE
LACK OF WHEEZING
BRADYCARDIA
LOSS OF pulsus paradoxus due to respiratory muscle fatigue.
PT HAS
STAGE 1= MILD INTERMITTENT ASTHMA
NO NIGHT TIME SX
USES ALBUTEROL 1X/WEEK ONLY
BUT HAS HISTORY OF
ASTHMA EXACERBATIONS OVER PAST YR THAT WERE TX AT URGENT CARE
WHAT INHALERS SHOULD THIS PT BE ON
ALTHOUGH PT HAS
STAGE 1= MILD INTERMITTENT ASTHMA
--WHICH USUALLY IS JUST SABA FOR TX
BUT DUE TO MULTIPLE EXACERBATIONS OF ASTHMA,
TX THIS AS
STAGE 2- mild persistent asthma
=
SABA
+
ICS [Show Less]