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What is the preferred treatment for intermittent asthma?
SABA
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What is the step up therapy for children 0-4 years old?
- LOW-dose ICS
- Medium-dose ICS
- Medium-dose ICS + LABA or Montelukast
- HIGH-dose ICS + LABA or Montelukast
- HIGH-dose ICS + LABA or Montelukast (po steroids too if needed)
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What is the step up therapy for children 5-11 years old?
- LOW-dose ICS
- LOW-dose ICS + LABA/LTRA/Theophylline OR ----Medium-dose ICS
- Medium-dose ICS + LABA
- HIGH-dose ICS + LABA
- HIGH-dose ICS + LABA + oral steroid
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What is the tsep up therapy for >12 y.o. & adults?
- LOW-dose ICS
- LOW-dose ICS + LABA OR just medium-dose ICS
- Medium-dose ICS + LABA
- High-dose ICS + LABA
- HIGH-dose ICS + LABA + oral steroid
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A PEF (peak expiratory flow) between 80-100% is in the ______ zone.
Green
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A PEF (peak expiratory flow) between 50-79% is in the ______ zone.
Yellow
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A PEF (peak expiratory flow) <50% is in the ______ zone.
Red
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What is the MOA of Cromolyn?
Mass cell stabilizer - inhibits release of mediators from eosinophils and epithelial cells
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Budesonide-Formoterol
Symbicort
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Budesonide nebulized
Respules
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Fluticasone-Salmeterol
Advair
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Mometasone
Asmanex Twisthaler
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Which drug is primarily indicated for sever, persistent asthma patients who have frequent ER visits/hospitalizations?
Omalizumab (Xolair) - Anti-IgE therapy
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Theophylline
Uniphyl - tachycardia, h/a, seizures, hypokalemia, hyperglycemia.
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Albuterol HFA
Ventolin, Proventil, Proair
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Albuterol-Ipratropium
Combivent
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What are the 4 classes of severity in COPD?
- Mild: FEV1 > 80% (Stage 1)
- Moderate: FEV1 50-80% (Stage 2)
- Severe: FEV1 30-50% (Stage 3)
- Very Severe: FEV1 <30 % (Stage 4)
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Which agents do you use for the corresponding stages in the treatment of COPD?
- Stage 1 = Short acting bronchodilator
- Stage 2 = Add long-acting bronchodilator
- Stage 3 = Add inhaled steroid
- Stage 4 = Add long-term O2 therapy
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Which antibiotics would you use in mild, moderate and severe COPD exacerbations?
- Mild = Amoxicillin, Doxycycline, Bactrim
- Moderate = Augmentin, Respiratory FQs
- Severe = Cipro and Levo
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