Notes in 01_Chronic Asthma

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Published 02/10/2024 {{c1::Asthma}} is {{c2::a symptomatic-based relapsing and remitting respiratory condition with a genetic and hypersensitivity background that is varia…
Published 02/10/2024 {{c1::Atopy}} is {{c2::the body’s predisposition to develop an antibody called immunoglobulin E (IgE) in response to exposure to environmental allerge…
Published 02/10/2024 Presentation of {{c2::Asthma}} {{c1::Wheeze with cough}} {{c1::Shortness of breath}} {{c1::Variability}} {{c1::Response to treatment}} {{c1::Often sta…
Published 02/10/2024 Risk Factors for Asthma {{c1::Family history of Asthma (especially maternal)}} {{c1::Maternal smoking}}{{c1::Occupational exposure to allergens}}
Published 02/10/2024 Pathophysiology of Asthma {{c1::Airway inflammation mediated by the immune system (Type I hypersensitivity disease) leading to narrowed airways}} {{c1…
Published 02/10/2024 Investigations of Asthma and Asthma Attacks {{c1::Oxygen saturations}} {{c1::Peak Expiratory Flow Rate (PEFR)}} {{c1::Spirometry with bronchodilator r…
Published 02/10/2024 Diagnosis of Asthma {{c1::Wheeze (with and without URTI)}} {{c1::Shortness of breath at rest}} {{c1::Response to treatment (inhaled corticosteroids (I…
Published 02/10/2024 After history, if suspecting high probability of Asthma, what is the next appropriate action?{{c1::Initiate treatment, 2 months of inhaled corticoster…
Published 02/10/2024 After history, if suspecting intermediate probability of Asthma, what is the next appropriate action?{{c1::Test for airway obstruction (spirometr…
Published 02/10/2024 After history, if suspecting low probability of Asthma, what is the next appropriate action?{{c1::Think about what else it could be, such as diff…
Published 02/10/2024 Spirometry of a suspected asthmatic patient shows an Obstructive picture (FEV1/FVC <70%), what should be done next?[1] {{c1::Carbon monoxide g…
Published 02/10/2024 Spirometry of a suspected asthmatic patient shows a Normal picture, what should be done next?[1] {{c1::Peak flow monitoring (look for variability in t…
Published 02/10/2024 Approach to Manage Asthma[1] Uncertainty: {{c1::If unsure whether patient has Asthma or not, if their QoL is affected then start with a trial of …
Published 02/10/2024 Criteria to Assess Starting Point of Asthma Management {{c1::Ability to complete sentences}} {{c1::Heart rate}} {{c1::Respiratory rate}} {{c1::Work of…
Published 02/10/2024 Measuring Control of AsthmaRemembered as {{c1::SANE}} {{c1::Short acting beta agonist/week}} {{c1::Absence school/nursery}} {{c1::Nocturnal symptoms/…
Published 02/10/2024 Classes of Medications to treat Acute Asthma {{c1::Short acting beta agonists (SABA) e.g. Salbutamol, Terbutaline}} {{c1::Oral steroids e.g. Prednisol…
Published 02/10/2024 Classes of Medications to treat Chronic Asthma {{c1::Inhaled corticosteroids (ICS)}} {{c1::Long acting beta agonists (LABA)}} {{c1::Leukotriene recept…
Published 02/10/2024 Increasing Amount of Drug from Metered-Dose Inhaler (MDI) into the Lung {{c1::MDI/Spacer}} {{c1::Shake = Shake inhaler between puffs}} {{c1::Wash = Wa…
Published 02/10/2024 Evaluation of Asthma Patient {{c1::Assess and review symptoms}} {{c1::Measure lung function}} {{c1::Check inhaler technique and adherence}} {{c1::Adju…
Published 02/10/2024 BTS/SIGN Guidelines Step 0 for Suspected AsthmaPatient presents with infrequent, short-lived wheezeAction: {{c1::trial of treatment with low dose…
Published 02/10/2024 After Trial of Treatment, if patient is confirmed to have Asthma then prescribe a {{c1::Short acting beta agonists (SABA) inhaler e.g. Salbutamol, Ter…
Published 02/10/2024 BTS/SIGN Guidelines Step 1 for AsthmaIndication:Asthmatic Patient presents with: {{c1::B2 agonist >2 days a week}} {{c1::Symptomatic ≥3 week}} {{c1…
Published 02/10/2024 BTS/SIGN Guidelines Step 1 for AsthmaAction: {{c1::Start low dose ICS in >5 yrs}} {{c1::Start LTRA e.g. Montelukast in <5 yrs}}
Published 02/10/2024 BTS/SIGN Guidelines Step 2 for AsthmaIndication:{{c1::Uncontrolled asthma with step 1}}Action:{{c1::Combination of low dose ICS with LABA e.g. Salmete…
Published 02/10/2024 BTS/SIGN Guidelines Step 3 for AsthmaIndication:{{c1::Uncontrolled asthma with step 2}}Action:{{c1::Addition: Low dose ICS + LABA + LTRA}}{{c1::Dosage…
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