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16 Cards in this Set
- Front
- Back
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define asthma
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Chronic *inflammatory* disease of the airways
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when does a pt start having asthmatic symptoms?
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flow has to drop 50% before you have major asthmatic symptoms
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What classification of asthma does this describe?
Daytime symptoms less than or equal to 2 days a week and less than or equal to 2 nights a month Peak flows more than or equal to 80% of personal best and less than 20% variability in daily peak flow measurements. No daily medications needed |
Mild intermittent
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what are the 4 classes of asthma?
what puts a patient in that class? *** |
Mild intermittent
Mild persistent Moderate persistent Severe persistent Presence of one of the features of a given class is enough to place patient in that class |
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What classification of asthma does this describe?
Daytime symptoms more than twice a week but less than once a day or symptoms more than 2 nights a month Peak flows more than or equal to 80% of personal best or 20% to 30% variability in daily peak flow measurements. Preferred daily medications: Low-dose inhaled corticosteroids. |
Mild Persistent
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What classification of asthma does this describe?
Daily daytime symptoms or symptoms more than 1 night a week Peak flows 60% to 80% of personal best or more than 30% variability in daily peak flow measurements. Preferred daily medications: Low-to-medium dose inhaled corticosteroids and long-acting inhaled beta 2 -agonists. |
Moderate Persistent
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What classification of asthma does this describe?
Continual daytime symptoms or frequent nighttime symptoms Peak flows less than or equal to 60% of personal best or more than 30% variability in daily peak flow measurements. Preferred daily medications: – High-dose inhaled corticosteroids AND Long-acting inhaled beta 2 -agonists AND, if needed, Corticosteroid tablets or syrup long term |
Severe Persistent
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what is the major no-no in asthma?
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DO NOT EVER USE LONG ACTING BETA AGONISTS AS MONO THERAPY
IT IS BAD! it actually has been found to kill people faster |
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what is Status Asthmaticus?
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Persistent progressive asthma attack despite appropriate interventions such as:
Nebulizers Oxygen Heliox Steriods |
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what is the definition of Asthma Control (Rules of 2)
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Use of rescue inhaler more than 2 times a week
Use of nocturnal rescue inhaler more than 2 times a month Use of more than 2 canisters of rescue inhaler a year If any of these are exceeded, then asthma is not controlled and progression to next pharmacologic intervention is warranted |
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what is Sampters triad?
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Triad of asthma, ASA allergy and nasal polyps
seen in aspirin sensitive asthma |
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____ appear to be safe in patients with COPD, even when there is a bronchospastic component.
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Beta-1 selective beta blockers (eg, atenolol or metoprolol)
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what is ABPA - Allergic Bronchopulmonary Aspergillosis?
what treats it? |
Complex hypersensitivity reaction, often in patients with asthma or cystic fibrosis, that occurs when bronchi become colonized by Aspergillus. Repeated episodes of bronchial obstruction, inflammation, and mucoid impaction can lead to bronchiectasis, fibrosis, and respiratory compromise.
Corticosteroids are very effective for controlling ABPA |
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what problem does the following describe:
Multisystem disorder characterized by allergic rhinitis, asthma, and prominent peripheral blood eosinophilia. The most common organ involved is the lung, followed by the skin. CSS can affect any organ system, including the cardiovascular, gastrointestinal, and central nervous systems |
Churg Strauss
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what is the injectable treatment for asthma?
how does it work? |
Omalizumab
is a recombinant DNA-derived humanized IgG1k monoclonal antibody that selectively binds to human immunoglobulin E (IgE). |
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what should you do after use of inhaled steroid?
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rinse mouth to stop thrush
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