Please enable JavaScript.

Coggle requires JavaScript to display documents.

Asthma (Path: Bronchoconstriction and Inflammation (Type: Obstructive Lung…

- - - - 18-65 years old is Athletic asthma
      - s/s: Wheezing, SOB, Cough, Asthma, Atopy,Allergies
        
        These are triggered (allergies)
        
        Asthma is reversible (ß agonists) and inducible(methacoline)
        
        PEx: Decreased lung sounds, hyper resonance (air trapping)
- - - - Inhaled CS
      - Leukotriene antagonists
        
        :pencil2:Effectively equal
      - Oral steroids (generally avoid)
      - Stabilizers :athletic asthma only :athletic_shoe:
        
        Neocromyl
        
        Cromolyn
  - - - II (mild)
        
        III(mod)
        daily
        
        IV(severe)
        
        V (refractory to tx)
        
        PO Steroids
        
        ≥1x / day
        
        Night: "frequent"
        
        FEV1: ≤ 60%
        
        1 more item...
        
        Day: >1x / day
        
        Night: >1x / week
        
        FEV1: 60-80%
        
        SABA
        
        ICS
        
        LABA
        
        (never as mono therapy)
        
        Persistent
        
        Day: <1x / day, >2x / week
        
        Night: <2x / week
        
        FEV1: 80%
        
        SABA
        
        ICS
      - Day: <2x /wk
        
        Night: <2x / mo
        
        FEV1: 80%
        
        SABA
      - Intermittent
    - - :pencil2:Make sure theyre using Rx, correctly, probably not doing it right
        
        Observe they are using inhaler correctly
        
        Use a spacer for inhaler
        
        Medication adherence counseling
- - - - Methacholine challenge
        
        :check:Broncoconstriction/reversal with Albuterol = asthma :checkered_flag:
        
        :green_cross: no bronco constriction : stop :no_entry:
    - - Albuterol: reverse sx?
        
        :green_cross: no reversal : stop :no_entry:
- - - - No O2 req
        
        no wheeze
        
        PEFR > 70
        
        Tx:
        
        metered dose inhalers (MDI)
        
        Prednisone
    - - increased O2 demand
        
        rising CO2
        
        Decreasesd lung sounds
        
        no wheeze: can't move air :warning:
        
        PEFR ≤50%
        
        Tx:
        
        ventilator
        
        IV methylprednisolone
        
        continuous Nebs
        
        no better
        
        Racemic Epi
        
        SubQ Epi
        
        Mg (:warning: All at once)
    - - Tx:
        
        Duonebs
        
        Transition to MDI
        
        IV steroids
        
        transition to oral prednisolone (eventually space these out)