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asthma copd def
asthma and copd
| Question | Answer |
|---|---|
| define asthma | chronic, inflammatory disorder of airways; interactions between cells and inflammatory mediators resulting in INFLAMMATION, OBSTRUCTION (partially or completely reversible) after treatment or responds spontaneously, increased airway responsiveness episode |
| cells and mediators involved in asthma | mast, eosinophils/ inflammatory interleukins, leukotrienes, neutrophils in exacerbation |
| name 2007 asthma guidelines | national heart, lung, blood institute |
| asthma guidelines define asthma into these groups | mild intermittent, mild, moderate, severe persisitant |
| asthma guidelines define impairment as: | frequency and intensity of symptoms and functional limitations the pt is experiencing |
| asthma guidelines define risk as: | likelihood of asthma exacerbations, progressive decline in lung function (or children lung growth), or adverse effects of meds |
| pts severity classification is determining the most appropriate pharmacotherapeutic approach by determining: | symptoms (SABA use, nocturnal sx), interference with normal daily activity, lung function (spirometry to determine FEVI FVC) , frequency of exacerbations |
| drugs that may cause asthma or symptoms | ASA, nsaids like ibuprofen, (dont give COXII for asa-sensitive asthma pts), antiadrenergic and cholingeric drugs (bb or bethanecol), meds or foods with tartrazine, sulfites, benzalkonium chloride, preservatives, excipeints like legumes(soybeans) oleigic |
| definition of pulmonary hypertension | mean pulmonary artery pressure>25mmHg at rest or 30 with exercise. |
| using vasodilators with pulmonary hypertension | if pt gets worse suspect veno-occlusive disease or when using bb/ccb |