Fichas
Asthma
Fichas del conjunto (15)
- 1Characteristic triad of asthma- Airway inflammation
- Airway hyper-responsiveness
- Reversible airflow obstruction - 2Extrinsic vs. intrinsic asthmaExtrinsic (most) - IgE produced to environmental antigens; associated with eczema, hay fever; starts young
Intrinsic - not related to atopy or environmental triggers - 3What movement of the abdomen/diaphragm is a sign of impending respiratory failure?Paradoxic movement of abdomen and diaphragm on inspiration
- 4Most common physical exam finding in asthmaWheezing
- 5On pulmonary function testing, when is airflow obstruction considered reversible?If inhalation of β2-agonist increases FEV1 or FVC by at least 12%
- 6Asthma patients should self-monitor their ____________.peak flow
(peak expiratory flow rate) - 7Peak flow monitoring for patients with mild persistent asthma: 1) How often? 2) What to do if it decreasesPeriodic monitoring is sufficient
Increase dose of inhaled steroid if decreases - 8Peak flow monitoring for patients with moderate persistent asthmaDaily monitoring required
Increase dose of inhaled steroid if decreases - 9Peak flow monitoring for severe persistent asthma patientsDaily monitoring is required
Initiate prednisone if decreases - 10CXR in asthmaNormal in mild cases
May have hyperinflation if severe
Only necessary to get a CXR if asthma is severe (to rule out other conditions) - 11T/F: Hypercarbia is common in asthma patients.False; HYPOcarbia is common.
If PaCO2 is normal or increased, respiratory failure may ensue - 12What blood pressure meds should be avoided in asthmatics?β-blockers
- 13Role of IV magnesium in asthmaHelps with bronchospasm in acute severe exacerbations that don't respond to other meds (inhaled β2-agonists or corticosteroids)
- 14In patients with asthma and nasal polyps, you should consider _________ as a diagnosis and avoid _______________.Aspirin-sensitive asthma
Avoid aspirin or any NSAIDs, which may cause a severe systemic reaction - 15T/F: An MDI with a spacer is just as effective as a nebulizerTrue
BUT patients may report greater symptomatic relief with a nebulizer simply because it provides more medication
Información
- Descripción
- USMLE Step 2 (2a Obstructive Lung Disease) Pulmonology Fichas sobre Asthma, creado por Aaron Samide el 04/05/2016.
- Creado por
- Aaron Samide
- Visitas
- 12
- Valoración