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Session 2 CM pulm2

CM- pulm -2- Asthma 1&2

What is the pathogenesis of Asthma chronic inflammatory disease IgE combines with antigen triggering histamine release causing leaky venules, increased airway secretion stimulates irritant receptors and vagal release of ACH causing BRONCHOconstriction
What are the assoicated s/sx of asthma coughing, wheezing, breathlessness and chest tightness.
Are the s/sx of asthma reversible usually reversible
What innate immunity response can cause ashtma TH1 and TH2 type cytokine responses
What environmental factors can cause asthma airborne allergens, viral respiratory infections
what is the triad of asthma Dyspnea, Cough, Wheezing
When are asthma symptoms worse worse at night or early morning
When running spirometry what will you administer to check for asthma give a bronchodilator looking for 12% improvement pre vs post bronchodilator
What are the biomarkers for inflammation in asthma eosinophils and sputum
What are the treatment goals with asthma reduce impairment reduce risk- prevent exacerbations
what are the four components of asthma care 1 asses severity and control of asthma 2 EDUCATION 3 control environmental factors and comorbid conditions 4 Medications
When thinking of impairment from asthma what should come to mind current problems such as night time awakenings, activity limitations
When thinking of risks and asthma what should come to mind think of risks as future problems controlling future frequency and exacerbation of asthma or occurence of tx related adverse effects
Does increased impairment from asthma equate to an increase in asthma risk no
Assess severity to _______ Therapy and Assess control to ________ therapy Assess severity to initiate Therapy and Assess control to adjust therapy
in component 2 of asthma treatment, education, what do you want to accomplish ensure the family and patient understand basic facts about asthma, role of medication long term and short term acting medicines and controlling environmental conditions like possibly getting rid of a pet or smoking or other habits
What comorbid conditions can exacerbate asthma GERD, Obesity, OSA, rhinnitis/sinusitis, stress/depression
What are the long term medications for treating asthma corticosteroids, mast cell stablilizers, immunomodulators, leukotriene modifiers, LABA salmetrol and formoterol, methylxanthines
What are the short acting meds for asthma tx anticholinergics SABAs- albuterol, levalbuterol pirbuterol systemic corticosteroids
after giving a tx for asthma what should you do follow up and evaluate the controls see if you need to step up treatment or if you can step down tx
If you aren't getting the desired control of the asthmas what should you look at review pt's compliance if compliance is ok step up medications consider alternative diagnosis
what would be considered mild asthma dyspnea only with activity
what would be considered moderate asthma dyspnea interferes or limits usual activity
What would be considered severe asthma dyspnea at rest or interferes with conversation
what would be considered life threatening asthma too dyspneic to speak or perspiring
Created by: smaxsmith