asthma

Question 1

define mild-moderate asthma exacerbation

Answer 1

FEV1 or PEF > 40%

Question 2

define moderate asthma exacerbation

Answer 2

FEV1 or PEF 40-69%

Question 3

define severe asthma exacerbation

Answer 3

FEV1 or PEF

Question 4

define good response to acute Tx for asthma

Answer 4

FEV1 or PEF > 70% & response sustained > 60 min after last treatment

Question 5

define poor response to acute Tx for asthma

Answer 5

FEV1 or PEF /= 42 mmHg

Question 6

in moderate / severe asthma exacerbation, how often can albulterol be given?

Answer 6

q 1 hour or continuous SABA

Question 7

how can pt objectively tell they need SABA at home?

Answer 7

PEF 50-79%

Question 8

at home, pt determines need for SABA. How use properly?

Answer 8

up to 2 treatments 20 min apart of 2-6 puffs by MDI or neb. Then may continue SABA q 3-4 h x 48 hrs

Question 9

pt has incomplete response to SABA: PEF 50-79%. Now what?

Answer 9

steroids

Question 10

pt used SABA, but PEF

Answer 10

go to ER

Question 11

1. NL PEF for 65 inch male, age 30

2. NL PEF for 65 inch woman, age 30

Answer 11

1. 577

2. 448

Question 12

what must be taken into consideration with PEF

Answer 12

Age, sex, height

Question 13

define asthma exacerbation by PEF

Answer 13

Decrease from pt’s baseline by 20% or more

Question 14

albuterol MDI (90 mcg/puff)

Answer 14

4-8 puff q 20 min up to 4 h, then q 1-4 h prn

Question 15

levalbulterol dosing (45 mcg/puff)

Answer 15

same as albuterol MDI