What are some symptoms of asthmaCough, chest tightness, shortness of breath, wheezing in order of progression
What are some triggers of asthmaAllergens, irritants, weather changes, viral or sinus infection, exercise, herd, medications/food, emotional anxiety
What are some allergensPollens, molds, animal dander, house dust mites, cockroach droppings
What is an allergenEffect only people allergic to that substance
What is irritantEffect everyone if the dose is high enough
What are some irritantsTobacco smoke, wood smoke, chemicals in the air, ozone, perfumes, household cleaners, cooking fumes, paints or varnishes
what are some occupational irritantsVapors, dust, gases, fumes
What are some other common causes of asthmaViral and sinus infections, exercise, reflux disease herd, medications (NSAIDS) and beta blockers, emotional anxiety
What are the types of medications that help with asthma symptomsAntihistamines, decongestants, anti inflammatory agents, anti leukotriene’s, bronchodilators, anticholinergics
What are the 3 types of medications that are used as anti inflammatory agentsMast cell stabilizers, corticosteroids, bronchodilators
What are the classes of bronchodilators availableBeta-agonist bronchodilators, methylxanthines, anticholingergics
methylxanthines8-12 MC/dl therapeutic effects anymore you can be toxic. This is the PDE inhibitors such as theophylline, aminophylline, theobromide
Rescue medsAre there for when you have symptoms
Maintenance medsWhen you don’t have symptoms and are there for control
anticholinergicBlock the veal nerve in bronchoconstriction, can be used alone or along with bronchodilators examples are atrovent, Spiriva (tiotropium bromide) these are better for COPD rather than asthma
What are the 6 goals for the effective management of asthmaPrevent chronic and troublesome symptoms, maintain normal breathing, maintain normal activity levels including exercise, prevent recurrent asthma flare UPS and minimize the need for emergency room, provide optimal medication therapy with no or minimal eff
What are the 4 categories of asthmaMild intermittent, mild persistent, moderate persistent, severe persistent
What are the signs of mild intermittent<= 2 days a week, <= 2 nights a month, PEF <= 80%, PEF variability <20%
What are the signs of mild persistent>2 days a week, >2 nights a month, PEV or FEV1 >80%, PEF variability 20-30%
What are the signs of moderate persistentDaily symptoms, >1 night/week, PEV or FEV1 60-80%, PEF variability >30%
What are the signs of severe persistentContinual symptoms, night symptoms are frequent, PEF or FEV1 <60% PEF variability >30% frequent exacerbations
What are rules of 2 for asthma meds telling you ur asthma is not under control.You use a rescue inhaler more than 2 times a week, you awaken at night with asthma symptoms more than 2 times a month, you use more than 2 canisters a year of rescue meds
What are quick relief medicationsShort acting b2 agonist, inhaled anticholingerics, short acting theophylline, epinephrine/ adrenaline injection
Long term asthma medscorticosteroids, tablets or syrup steroids, mast cell stabilizers, long acting b2 agonist, sustained release tablets, sustained release methylaxanthines, antileukotriens,