CM- pulm -2- Asthma 1&2
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| 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
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| What are the assoicated s/sx of asthma | coughing, wheezing, breathlessness and chest tightness.
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| Are the s/sx of asthma reversible | usually reversible
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| What innate immunity response can cause ashtma | TH1 and TH2 type cytokine responses
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| What environmental factors can cause asthma | airborne allergens, viral respiratory infections
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| what is the triad of asthma | Dyspnea, Cough, Wheezing
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| When are asthma symptoms worse | worse at night or early morning
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| When running spirometry what will you administer to check for asthma | give a bronchodilator looking for 12% improvement pre vs post bronchodilator
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| What are the biomarkers for inflammation in asthma | eosinophils and sputum
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| What are the treatment goals with asthma | reduce impairment
reduce risk- prevent exacerbations
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| 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
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| When thinking of impairment from asthma what should come to mind | current problems such as night time awakenings, activity limitations
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| 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
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| Does increased impairment from asthma equate to an increase in asthma risk | no
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| Assess severity to _______ Therapy and Assess control to ________ therapy | Assess severity to initiate Therapy and Assess control to adjust therapy
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| 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
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| What comorbid conditions can exacerbate asthma | GERD, Obesity, OSA, rhinnitis/sinusitis, stress/depression
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| What are the long term medications for treating asthma | corticosteroids, mast cell stablilizers, immunomodulators, leukotriene modifiers, LABA salmetrol and formoterol, methylxanthines
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| What are the short acting meds for asthma tx | anticholinergics
SABAs- albuterol, levalbuterol pirbuterol
systemic corticosteroids
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| 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
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| 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
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| what would be considered mild asthma | dyspnea only with activity
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| what would be considered moderate asthma | dyspnea interferes or limits usual activity
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| What would be considered severe asthma | dyspnea at rest or interferes with conversation
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| what would be considered life threatening asthma | too dyspneic to speak or perspiring
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