Asthma

Question 1

What is the number one cause of days missed from school/work and third leading cause of hospitalization

Answer 1

asthma

Question 2

Describe severity of asthma

Answer 2

intrinsic intensity of the disease process
- intermittent
- mild persistent asthma
- moderate persistent asthma
- severe persistent asthma

Question 3

Describe the control of asthma

Answer 3

the degree to which symptoms are minimized by therapeutic interventions
- well controlled
- not well controlled
- very poorly controlled

Question 4

What are the goals of asthma treatment

Answer 4

reduce impairment
- prevent chronic sxs
- normal lung function
- normal activity levels
- reduce use of inhalers

reduce risk
- prevent exacerbations
- minimize need for emergency care & hosp
- minimize side effects

Question 5

Describe the rule of two’s regarding control of asthma

Answer 5

• symptoms no more than twice a week
• symptoms don’t wake you up more than twice
• can do all normal activities
• quick relief meds used no more than 2 days a week

Question 6

Describe the asthma control test (ACT)

Answer 6

• quickly screens pts to determine if asthma is in control
• 5 questions
• better at predicting asthma control than FEV1 alone
• score 19 or lower = likely not controlled

Question 7

Describe the etiology of asthma

Answer 7

Question 8

Describe the clinical presentation for asthma

Answer 8

Question 9

Describe the diagnostic testing for asthma

Answer 9

Question 10

Describe the treatment for asthma

Answer 10

Question 11

Describe the goals of treatment for asthma

Answer 11

Question 12

Describe the concerns with 2 major treatments for asthma

Answer 12

*Leukotriene Mods: behavioral side effects in younger kids!

*ICS may slow linear growth in first year of use - catch up period follows

Question 13

Describe combo/SMRT therapy for asthma

Answer 13