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Flashcards in Asthma Management in Adults Deck (36)
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1

Why is asthma therapy important?

It is common

Manageable

Dangerous

Expensive

2

What is wrong with the asthmatic airway?

Wall inflamed and thickens

Tightened smooth muscle

3

What are some of the symptoms of asthma?

Shortness of breath

Wheeze

Cough

Chest tightness

Diurnal variability

Episodic

Atopy

4

What does diurnal mean?

During the day

5

What are some of the signs of asthma?

Wheeze on auscultation

Eczema

Obstructed spirometry

PEF changes

Response to treatment

6

What is the complete control of asthma defined as?

No datime symptoms

No time-time awakening due to asthma

No need for rescue medication

No asthma attacks

No limitations on activity including exercise and normal lung function

Minimal side effects from medication

7

What does non-pharmacological management of asthma include?

Patient education and self-management plans

Exercise

Smoking cessation

Weight management

Flu/pneumococcal vaccinations

8

What does the pharmacological management of asthma include?

Inhaled therapy

Oral therapy

Specialist treatment

9

What kind of dosage to inhalers deliver?

Small dose

10

Where do inhalers deliver the drug to?

Directly to the target organ (airways and lungs)

11

What are advantages of inhalers?

Directly deliver to target organs

Onset of effect is faster

Minimal systemic exposure

Systemic adverse effects less severe and less frequent

12

What are some different kinds of inhalers?

pMDI (metered dose inhalers)

pMDI with spacers

Dry powder inhalers (DPI)

Short acting B2 agonist (SABA) relievers

13

What does SABA stand for?

Short acting B2 agonist

14

What does DPI stand for?

Dry powder inhalers

15

What does pMDI stand for?

Metered dose inhalers

16

What drugs are used in short acting B2 agonists?

Salbutamol

Terbutaline

17

What kinds of inhalers is salbutamol used in?

MDI (metered dose inhalers)

DPI (dry powder inhalers)

18

What kind of inhalers is terbutaline used in?

Dry powder inhalers

19

What kind of inhaler is this?

pMDI

20

What kind of inhaler is this?

pMDI with spacer

21

What kind of inhaler is this?

Dry powder inhaler

22

What are examples of oral therapy?

Leukotriene receptor antagonist

Theophylline

Prednisolone

23

What are examples of specialist options?

Omalozumab (anti IgE)

Mepolizumad (anti interleukin-5)

Bronchial thermoplasty

24

Why is omalizumab useful?

Anti IgE

25

Why is mepolizumad useful?

Anti interleukin-5

26

What drug is anti IgE?

Omalizumab

27

What drug is anti interleukin-5?

Mepolizumad

28

What can be said about an acute asthma attack?

Patient specific

Known trigger

Avoid delays

Follow guidelines

29

What are the different acute asthma severities?

Moderate

Severe

Life-threatening

Near-fatal

30

When should a patient be hospitalised after an acute asthma attack?

If it is moderate/severe