Lifestyle/Gina
Typical trigger in asthma
viral infections, allergen exposure, food allergy, outdoor air pollution, seasonal changes, returning to school (fall), poor adherence with ICS
What is recommended as first line therapy for patients with asthma?
ICS+ LABA
Inhaler technique is similar for all types of inhalers?
Wrong, consider MDI vs. DPI
Pulmicort Flexhaler dose for asthma?
1-4 inhalations BID
What is an asthma action plan?
Everyone with asthma needs his or her own Asthma Action Plan. Work with your health care provider to create a plan that works for you. Your goal is to prevent and control your asthma attacks. Be sure to include the three zones created by the National Institutes of Healthexternal icon in your plan: Green for when you’re doing well, Yellow for when your asthma is getting worse, and Red for a medical alert.
Is Hx of psychiatric disease or psychosocial problems a risk factor that increases risk of asthma-related death?
Yes
How many steps are in the new guidelines?
5
Use SABA cautiously in what disease states?
CVD, glaucoma, seizures, diabetes
Difference between MDI and DPI?
Too long to type :)
How many zones are in an asthma action plan?
3
What month did the 2019 Gina guidelines publish?
April
What medication is recommended in step 3?
Low dose ICS-LABA
What are side effects of SABA?
decrease K, hyperglycemia, nervousness, tremor, tachycardia, palpitations, QTc prolongation
Advair Diskus dose for asthma?
1 inhalation BID
Do ALL patients with asthma need an asthma action plan?
Yes
Do 2019 guidelines apply to children?
12+ years and older, younger population was not studied
What are the three steps in personalized asthma management?
Assess, Adjust, Review Response
Antibiotics recommended in a "typical" asthma exacerbation?
None! Unless STRONG evidence of lung infection (fever or purulent sputum or radiographic evidence of PNA)
2 inhalations BID
What is the peak flow range in the green zone?
100-80
What does GINA stand for?
Global Initiative for Asthma
SABAs can no longer be used as reliever inhalers?
False, they are still an option
Is ICS+LABA a controller or reliever medication?
Both.
Symbicort dose for asthma?
2 inhalations BID
Peak Flow reading in danger zone?
< 50