Asthma Flashcards by Chloe Mackle

Q

Give 5 symptoms of asthma

A

wheeze
dry cough
dyspnoea
occasional sputum
chest tightness
aggravated by cold air/exercise/stress

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Q

Give a sign of asthma

A

hyperexpanded chest

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Q

Give 5 investigations you would do for asthma

A

spirometry
PEFR
response to bronchodilator
lung volumes
CXR (to confirm clinical findings)
skin prick test for atopy
FBC

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Q

What is step 1 treatment of asthma?

A

Short acting beta-2 agonist

e.g. salbutamol

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Q

What is step 2 treatment of asthma?

A

Addition of an inhaled corticosteroid

e.g. beclamethosone

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Q

What is step 3 treatment of asthma?

A

Addition of a long acting beta-2 agonist

e.g. salmeterol

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Q

What is step 4 treatment of asthma?

A

increase dosage of ICS
addition of leukotriene receptor agonist
addition of theophylline

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Q

What is step 5 treatment of asthma?

A

Daily steroid tablet e.g. prednisolone

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Q

Give a disadvantage to using theophylline

A

narrow therapeutic index

- unpredictable metabolism

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