Respiratory
ASTHMC
Asthma
Asthma-Chronic, reversible airway obstruction, Contraindications:
causing repeatepisodes of Dyspnoea, wheeze, and cough.
·
obstruction is caused from -
B-blockers
inflammation, bronchial muscle spasm, and mucus production. NSAIDs
-
ACE Inhibitors
-
Diagnosis:
Diagnosed through history and spirometry/peakflow showing variable expiration.
·
spirometry shows varying FEV1 12%/200m1 when conducting reversibility test.
Peak flow varies 10%.
Spirometry Reversibility Test used to differentiate Asthma/COPD obstructive disease
-
baseline FEV1 is compared to FEV1after salbutamol, in order to assess reversibility.
·
Treatment Ladder:
Triggers/Risk Factors:
Allergy
↑
-
Go up/down Asthma treatment ladder as Aspirin
necessary:
-
Child onset
Exercise,
-
all asthmatics should have BLUE INHALER Cold
·
air
-
Short-Acting B2-Agonist (SABA) e.g. salbutamol, FH
-
for quick relief. obesity
Adultonset
-
BROWN INHALER -
smoking
I
. Inhaled Corticosteroid (ICS):e.g. Becomethasone.
ICS is used for prevention, notrelief.
Loccupational PINRINHALER:Fostain
in
↑
wash mouth after ICS to prevent candida. Beclemethasone + Formeterol
GREEN INHALER ICS + LABA
2. add
Long-Acting B2-Agonist (LABA):e.g. Salmeterol,
Formeterol.
is ineffective,
ifLABA from
remove it
plan.
3. Increase ICS dose and / or
add Leukotrine Receptor Agonist (LTRA) e.g. oral montelukast.
TREATMENT AIMS
4.add oral corticos teroid Prednisolone and / or
ASTHMA
specialisttreatmentlike Omalizumab monoclonal antibodies.
TREATMENT LADDER
ASTHMC
Asthma
Asthma-Chronic, reversible airway obstruction, Contraindications:
causing repeatepisodes of Dyspnoea, wheeze, and cough.
·
obstruction is caused from -
B-blockers
inflammation, bronchial muscle spasm, and mucus production. NSAIDs
-
ACE Inhibitors
-
Diagnosis:
Diagnosed through history and spirometry/peakflow showing variable expiration.
·
spirometry shows varying FEV1 12%/200m1 when conducting reversibility test.
Peak flow varies 10%.
Spirometry Reversibility Test used to differentiate Asthma/COPD obstructive disease
-
baseline FEV1 is compared to FEV1after salbutamol, in order to assess reversibility.
·
Treatment Ladder:
Triggers/Risk Factors:
Allergy
↑
-
Go up/down Asthma treatment ladder as Aspirin
necessary:
-
Child onset
Exercise,
-
all asthmatics should have BLUE INHALER Cold
·
air
-
Short-Acting B2-Agonist (SABA) e.g. salbutamol, FH
-
for quick relief. obesity
Adultonset
-
BROWN INHALER -
smoking
I
. Inhaled Corticosteroid (ICS):e.g. Becomethasone.
ICS is used for prevention, notrelief.
Loccupational PINRINHALER:Fostain
in
↑
wash mouth after ICS to prevent candida. Beclemethasone + Formeterol
GREEN INHALER ICS + LABA
2. add
Long-Acting B2-Agonist (LABA):e.g. Salmeterol,
Formeterol.
is ineffective,
ifLABA from
remove it
plan.
3. Increase ICS dose and / or
add Leukotrine Receptor Agonist (LTRA) e.g. oral montelukast.
TREATMENT AIMS
4.add oral corticos teroid Prednisolone and / or
ASTHMA
specialisttreatmentlike Omalizumab monoclonal antibodies.
TREATMENT LADDER
