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9 Cards in this Set
- Front
- Back
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1) Describe Asthma
a) History b) Physical c) Diagnostic studies |
Obstructive, chronic
1. Asthma- sometimes without treatment is reversible, affects all age a. chest tightness, coughing, wheezing b. c. |
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Name the following obstructive disorder by the description
a. productive cough for 3 months each of 2 successive years b. chronic potentially reversible inflammatory disorder c. abnormal and permanent enlargement of airspaces distal to terminal bronchioles and destruction of airspace walls |
a. chronic bronchitis
b. asthma c. emphysema (COPD results when airflow obstruction occurs) |
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How do you categorize asthma severity?
a. symptoms b. lung function c. tests |
IMMS
1. intermittent 2. mild persistent 3. moderate persistent 4. severe persistent a. Symptoms- had over 2-4 weeks b. Lung function- FEV1 and FEV1/FVC c. methacholine "challenge test" causes bronchospasm with patients who have asthma--> 20% or greater reduction in FEV1 after |
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Describe asthma classifications...
1. intermittent 2. mild persistent 3. moderate persistent 4. severe persistent |
1. two or fewer days a week, inhaler used less than two times FEV1 normal in between exacerbations
2. more than 2 per week, 3-4 nightly per month, minor interference in normal activities 3. daily symptoms, FEV1 60-80% expected 4. symptoms throughout the day, nocturnal episodes- nightly, FEV1 <60% of predicted |
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Risk factors for COPD...
What are important ways to manage it? |
a. smoking (80-90%)
b. passive smoking c. ambient air pollution d. hyper-responsive airways e. Alpha1-antitrypsin defiency 1. Avoid: smoking, occupational hazards, vaccinations, any long term health problems, 2. exercise, OMT, O2 therapy |
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Describe step one and two of the 5 step approach to Asthma treatment...
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1. Intermittent-
a. use SABA (short acting beta agonist) 10 minutes before identified triggers 2. Mild Persistent- a. Low dose inhaled glucocorticoids (GCs) b. consider luekotriene inhibitors, mast cell stabilizers, theophylline |
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What Glucocorticoids "GCs" are typically used for low dose inhalers?
What is a drug for... a. luekotrine inhibitors b. mast cell stabilizer? |
1. Fluticasone
2. Triamcinolone 3. Budesonide a. montelucast b. cromolyn |
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Describe step three and four/five of the 5 step approach to Asthma treatment...
Is there a step 6? |
3. Moderate persistent-
combine long acting inhaled beta agonists with low dose "GCs" and rest of step 2 4/5. Severe Persistent a. Long acting beta agonist combined with medium strength GCs (step 4) or high dose GCs (step 5) If bad enough use step 6 with oral GCs everyday |
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What is the PEFR and how is it used in patient asthma care?
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PEFR is the peak expiratory flow rate and it is measured on a handheld device (equivalent to FEV1 on spirometry)
- so patients moniter personal levels |
