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8 Cards in this Set

  • Front
  • Back
How do you define intermittent, mild persistent, moderate persistent and severe persistent
Intermittent: sx's less than 2 days/week

Mild persistent: > 2 days/week

Mod persistent: daily

Severe persistent: throughout the day
What are the steps in asthma treatment
Step 1 - SABA prn
Step 2= low dose ICS
Step 3= low dose ICS plus LABA or medium dose ICS
Step 4=medium dose ICS plus LABA
Step 5=high dose ICS plus LABA and consider xolair
Step 6=high dose ICS plus LABA plus systemic corticosteroid and xolair
What are the safety concerns with LABA?
Use of LABA without a long term ICS is contraindicated
What is the green zone asthma action plan?
Doing well, no symptoms. Take controller drug only. Use SABA before exercise
What is the yellow zone asthma action plan?
Some symptoms. Use qick relief agent.

If complete response, continue SABA every 3-4 hrs for 24-48 hrs

If incomplete response 1 hr, repeat 2-6 puffs of SABA and add OCS burst
What is the red zone asthma action plan?
Medical alert. Use SABA and add OCS burst
How do you treat a severe exacerbation of asthma?
Oxygen, high dose SABA plus ipratropium by MDI every 20 mins or continuously for 1 hr

Oral corticosteroids
What vaccines should asthma patients receive
Adults should receive pneumovax and revaccine after 5 years

Annual flu vaccine