Flashcards
Asthma
Cards in this deck (20)
- 1What is asthmaa chronic inflammatory condition of the airways
- 2Symptoms of asthmarecurrent episodes of wheezing, troublesome cough at night, cough or wheeze after exercise, cough, wheeze or chest tightness after exposure to airborne allergens or pollutants
- 3asthma triggerstobacco smoke
allergens (house dust, pets fungal spores, pollen)
Chemical/air pollutant
medications aspirin nsaids beta-blockers
cold air
viral infections - 4main classes of drug used in asthma treatmentbronchodilators
- inhaled=beta-agonists long and short i.e.ipratropium
-Oral=theophylline aminophylline
leukotriene antagonists like Montelukast
steroids=inhaled
oral prednisolone for uncontrolled asthma - 5action of beta-2 agonists?bind to beta-2 adrenergenic receptors in the smooth muscle of the airways and cause bronchodilation
- 6examples of beta-2 agonistssalbutamol
formoterol
salmeterol - 7what is referred to as reliever medication and what does it doshortacting beta-2 agonists
ease dypnoea, shortness of breath and wheezing - 8Side effects of beta-2 agonistspalpitations, tremor, headache
- 9action of inhaled steroids?acts on inflammatory cells and mediators to decrease inflammation and swelling in the airways
also
immunosuppressant - 10examples of inhaled steroidsfluticasone
beclomethasone - 11Side effects of inhaled steroidsdysphonia, oral candidiasis
- 12Oral Steroids name, frequency and a caution?Prednisolone
once daily
smallest possible dose - 13side effects of prednisoloneimmunosuppression
osteoporosis
fluid retention
impaired glucose tolerance - 14Combination inhalers for asthma containlong acting beta-2 agonists and inhaled steroid. Twice daily.
- 15What is the step wise approach1 occasional relief bronchodilator
2 regular inhaled preventer therapy
3 inhaled steroids and long acting beta-2 agonists
4 High dose inhaled steroids plus regular bronchodilators
5 regular oral steroids - 16what should you check before moving up in stepwiseinhaler technique
- 17What is always given with long acting bronchodilatorssteroid inhaler
- 18what is the backbone of preventer therapyinhaled steroids
- 19how many times per day should steroids be usedinhaled twice daily
- 20—