Asthma Basics
This is the hallmark physiologic characteristic of asthma.
What is reversible airway obstruction?
Normal oxygen saturation does not rule out this respiratory disease.
What is asthma?
The first-line rescue medication for acute asthma symptoms.
What is albuterol (SABA)?
Before stepping up asthma therapy, clinicians should first evaluate this factor.
What is adherence or inhaler technique?
The preferred inhaled bronchodilator delivery method in critical asthma.
What is continuous SABA therapy?
Two major pathophysiologic features of asthma besides bronchoconstriction.
What are airway inflammation and mucus production?
Name one sign of increased work of breathing in pediatric asthma.
What are retractions, nasal flaring, or accessory muscle use?
This medication class is the cornerstone of long-term asthma control.
What is inhaled corticosteroids (ICS)?
Asthma should generally be well controlled for this length of time before stepping down therapy.
What is intermittent inhaled corticosteroid therapy?
This respiratory support modality is suggested over conventional oxygen therapy in pediatric critical asthma.
What is BiPAP/NIV?
This type of inflammation is commonly associated with allergic asthma.
What is eosinophilic inflammation?
This finding is concerning because it may indicate worsening airflow obstruction despite less wheezing.
What is diminished breath sounds?
This adjunct bronchodilator is commonly added during moderate-to-severe exacerbations.
What is ipratropium bromide?
Children with recurrent viral-induced wheezing may benefit from this therapy at the start of respiratory infections.
What is intermittent inhaled corticosteroid therapy?
The guideline suggests either dexamethasone or this corticosteroid medication.
What is methylprednisolone?
The three classic symptoms of asthma are wheezing, cough, and ________.
What is dyspnea?
This clinical finding in a severe attack suggests impending respiratory failure.
What is a silent chest?
This IV medication is recommended as an adjunct treatment for critical asthma.
What is IV magnesium sulfate?
Consultation with an asthma specialist should be considered when a child reaches this step of therapy in the 5-11 year age group.
What is Step 3 (consider) or Step 4 (recommended)?
This adjunct IV beta agonist therapy may be considered when conventional treatments fail.
What is IV terbutaline or IV SABA therapy?
What is spirometry with bronchodilator response?
What is spirometry with bronchodilator response?
An ABG showing rising PaCO₂ during a severe asthma attack indicates this.
What is ventilatory failure or respiratory fatigue?
Current guidelines support using this medication combination as both maintenance and reliever therapy in appropriate patients.
What is ICS-formoterol?
One environmental intervention recommended for patients with asthma and documented pest allergy.
What is integrated pest management
This type of care system has been shown to improve outcomes and is recommended for pediatric critical asthma management.
What is a clinical pathway/protocol?