Medications
Albuterol belongs to what class of medication?
What is SABA
What is an exacerbation defined as?
An acute worsening in symptoms and lung function from the patient's usual status
When do we follow up with patients after an exacerbation?
Within 2-7 days, children 1-2 working days
What is the preferred reliever for patients 12 and older?
Preferred option ICS-formoterol
Second option SABA therapy
What do the GINA guidelines recommend against for use as mono-therapy?
SABA alone
What class of medications does Dulera belong to?
ICS/LABA
What is the goal O2 saturation in patients having an acute exacerbation?
Target saturation of 93-95% in adults
What are the two domains of managing asthma?
Reducing risk and symptoms
What is Step 1 preferred controller therapy for patients 12+?
Low dose ICS-Formoterol
What is the reason for patients wheezing when they are having an asthma exacerbation?
mechanical constriction of the muscle
What class of medications does Qvar belong to?
ICS
What should patients be treated with when having an acute exacerbation? (2 things)
SABA and oxygen
How often do we follow up with patients when they are gaining control?
Every 2-6 weeks
What is Step 2 preferred controller therapy for patients 12+?
Daily low dose ICS or low dose as needed ICS-Formoterol
What immune response causes airflow limitation when patients have asthma?
Inflammation which causes spasm of the smooth muscle and increased mucus secretion.
What class of medications does Ipratropium belong to?
LAMA
What medications can help decrease inflammation and improve lung function?
OCS
What is the main test that is preformed when diagnosing asthma?
FEV1
What is Step 3 preferred controller therapy for patients 12+?
Low dose ICS-LABA
What antibodies are responsible for the immune reaction seen in asthma?
IgE mediated immune reaction
(activates mast cells which release histamine causing inflammation)
What three common medication classes can worsen asthma?
Aspirin, NSAIDS, and Beta blockers (non-cardio-selective)
What two medications can be used in the acute care setting when a patient has inadequate response to SABA and oxygen therapy?
Magnesium sulfate IV
Ipratropium Bromide
What is one asthma complication that can be irreversible?
Loss of lung function
what class of medications can be used when a patient has a Eosinophil count of greater than or equal to 300/ul and a exacerbation in the last year?
Anti-IL5/ Anti-IL5R
What are the four questions that should be asked when assess a patients asthma?
In the past four weeks:
Daytime symptoms more than twice/week? Any night waking due to asthma? SABA reliever needed more than twice per week? Any activity limitations due to asthma?