Podcast
Questions and Answers
What is the primary clinical criterion for diagnosing asthma?
What is the primary clinical criterion for diagnosing asthma?
- Airway obstruction (correct)
- Tachypnea
- Shortness of breath
- Chest tightness
Which condition should be initially assumed in a patient presenting with wheezing and related symptoms?
Which condition should be initially assumed in a patient presenting with wheezing and related symptoms?
- Factitious Asthma
- Occupational Asthma
- Asthma (correct)
- Chronic Obstructive Pulmonary Disease
How might the course of asthma change over time in an affected individual?
How might the course of asthma change over time in an affected individual?
- Symptoms remain constant throughout their life
- Symptoms are always progressively worsen with time
- Symptoms may fluctuate in severity at different stages of life (correct)
- Symptoms disappear completely after puberty
What is the key focus of initial asthma treatment, alongside patient education?
What is the key focus of initial asthma treatment, alongside patient education?
What is the classification based on etiology mainly used for?
What is the classification based on etiology mainly used for?
Which of the following is NOT a common clinical manifestation of asthma?
Which of the following is NOT a common clinical manifestation of asthma?
How may a patient's symptoms during an asthma exacerbation be classified?
How may a patient's symptoms during an asthma exacerbation be classified?
Which of the following is NOT a type of asthma?
Which of the following is NOT a type of asthma?
What is the projected trend for annual asthma-related deaths in the coming decades?
What is the projected trend for annual asthma-related deaths in the coming decades?
Which population group is disproportionately more affected by asthma?
Which population group is disproportionately more affected by asthma?
Besides health disparities, what other factors contribute to the increased prevalence of asthma?
Besides health disparities, what other factors contribute to the increased prevalence of asthma?
What is a significant social burden associated with asthma, as mentioned in the text?
What is a significant social burden associated with asthma, as mentioned in the text?
What role do oral health care providers play in the treatment of asthma?
What role do oral health care providers play in the treatment of asthma?
According to the content, what should the dental care of asthmatic patients consider?
According to the content, what should the dental care of asthmatic patients consider?
What is the most accurate description of the severity of asthma?
What is the most accurate description of the severity of asthma?
What is a common characteristic of asthma in poverty-stricken areas?
What is a common characteristic of asthma in poverty-stricken areas?
What are some local untoward manifestations associated with antileukotriene drugs?
What are some local untoward manifestations associated with antileukotriene drugs?
Which of the following is a preferred therapy for mild persistent asthma?
Which of the following is a preferred therapy for mild persistent asthma?
What is a significant risk associated with the use of theophylline?
What is a significant risk associated with the use of theophylline?
Which medication can be used in addition to inhaled corticosteroids for symptomatic relief in asthma?
Which medication can be used in addition to inhaled corticosteroids for symptomatic relief in asthma?
Why is erythromycin contraindicated in patients taking theophylline?
Why is erythromycin contraindicated in patients taking theophylline?
What is the common use of cromolyn sodium in asthma therapy?
What is the common use of cromolyn sodium in asthma therapy?
How do anticholinergics like ipratropium bromide work in asthma treatment?
How do anticholinergics like ipratropium bromide work in asthma treatment?
What is a key difference between nedocromil and cromolyn sodium in asthma management?
What is a key difference between nedocromil and cromolyn sodium in asthma management?
What factors have been found to influence asthma mortality in Chicago?
What factors have been found to influence asthma mortality in Chicago?
What is the standard dose of a 1:1,000 wt/vol solution for adults experiencing asthma?
What is the standard dose of a 1:1,000 wt/vol solution for adults experiencing asthma?
Which treatment was assessed for its impact on caries development in asthmatic patients?
Which treatment was assessed for its impact on caries development in asthmatic patients?
What potential side effect is commonly associated with nebulized corticosteroids?
What potential side effect is commonly associated with nebulized corticosteroids?
What was the outcome of long-term isoproterenol treatment in a rat model?
What was the outcome of long-term isoproterenol treatment in a rat model?
Which publication provided guidelines for asthma diagnosis and management?
Which publication provided guidelines for asthma diagnosis and management?
Which cytokine's effect is particularly targeted by new immunomodulatory therapies in asthma management?
Which cytokine's effect is particularly targeted by new immunomodulatory therapies in asthma management?
What is a common practice that can help minimize the potential for candida growth after inhalation of steroids?
What is a common practice that can help minimize the potential for candida growth after inhalation of steroids?
What aspect of saliva was examined in relation to asthma and dental health?
What aspect of saliva was examined in relation to asthma and dental health?
What oral health issue has been linked to the use of inhaled steroids in asthma patients?
What oral health issue has been linked to the use of inhaled steroids in asthma patients?
What is a health concern associated with inner-city asthma?
What is a health concern associated with inner-city asthma?
What percentage of the inhaled dose actually reaches the lungs when using an inhaler?
What percentage of the inhaled dose actually reaches the lungs when using an inhaler?
What outcome was seen in studies regarding caries prevalence among urban children?
What outcome was seen in studies regarding caries prevalence among urban children?
What is a potential risk when treating asthmatic children with beta 2-adrenoceptor agonists?
What is a potential risk when treating asthmatic children with beta 2-adrenoceptor agonists?
What common behavior in asthmatic individuals can contribute to gingival inflammation?
What common behavior in asthmatic individuals can contribute to gingival inflammation?
What is a potential oral condition that can arise from the use of nebulized corticosteroids?
What is a potential oral condition that can arise from the use of nebulized corticosteroids?
What is the main concern regarding the use of erythromycin in patients taking theophylline?
What is the main concern regarding the use of erythromycin in patients taking theophylline?
What is the recommended alternative to erythromycin when treating patients taking theophylline?
What is the recommended alternative to erythromycin when treating patients taking theophylline?
What is the potential consequence of using phenobarbital with theophylline?
What is the potential consequence of using phenobarbital with theophylline?
What is the main reason cited for the concern about using sulfites in corticosteroid-dependent asthmatic patients?
What is the main reason cited for the concern about using sulfites in corticosteroid-dependent asthmatic patients?
What is NOT a valid concern about the use of erythromycin with theophylline?
What is NOT a valid concern about the use of erythromycin with theophylline?
What is the primary reason for recommending the use of azithromycin instead of erythromycin in patients taking theophylline?
What is the primary reason for recommending the use of azithromycin instead of erythromycin in patients taking theophylline?
What is the main reason for recommending the use of inhaled steroids for asthma management?
What is the main reason for recommending the use of inhaled steroids for asthma management?
What is the underlying assumption behind the recommendation to avoid using erythromycin in patients taking theophylline?
What is the underlying assumption behind the recommendation to avoid using erythromycin in patients taking theophylline?
Flashcards
What is asthma?
What is asthma?
Asthma is a chronic respiratory disease characterized by inflammation and narrowing of the airways, leading to difficulty breathing.
What is the current trend in asthma mortality?
What is the current trend in asthma mortality?
Although often perceived as a minor condition, asthma mortality rates have tripled in the last 20 years, highlighting its seriousness.
Who is most at risk of developing asthma?
Who is most at risk of developing asthma?
Children, young adults, and racial and ethnic minorities living in urban areas are disproportionately affected by asthma.
How does poverty impact asthma prevalence?
How does poverty impact asthma prevalence?
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What role do oral health care providers play in asthma management?
What role do oral health care providers play in asthma management?
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How does asthma affect oral health?
How does asthma affect oral health?
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What are some special considerations for dental care of asthmatic patients?
What are some special considerations for dental care of asthmatic patients?
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What is the goal of this article?
What is the goal of this article?
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Exercise-Induced Asthma
Exercise-Induced Asthma
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Extrinsic Asthma
Extrinsic Asthma
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Intrinsic Asthma
Intrinsic Asthma
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Mixed Asthma
Mixed Asthma
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Occupational Asthma
Occupational Asthma
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Factitious Asthma
Factitious Asthma
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Cough-Equivalent Asthma
Cough-Equivalent Asthma
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Potentially Fatal Asthma
Potentially Fatal Asthma
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What are inhaled corticosteroids used for in asthma?
What are inhaled corticosteroids used for in asthma?
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What are the alternatives to inhaled corticosteroids for asthma?
What are the alternatives to inhaled corticosteroids for asthma?
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What are the mast cell stabilisers used for in asthma?
What are the mast cell stabilisers used for in asthma?
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How do antileukotriene drugs help with asthma?
How do antileukotriene drugs help with asthma?
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What is the role of theophylline in treating asthma?
What is the role of theophylline in treating asthma?
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Why is erythromycin contraindicated in patients taking theophylline?
Why is erythromycin contraindicated in patients taking theophylline?
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What is the role of anticholinergics in asthma management?
What is the role of anticholinergics in asthma management?
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What is salmeterol used for in asthma?
What is salmeterol used for in asthma?
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1:1,000 wt/vol
1:1,000 wt/vol
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What are the side effects of inhaled corticosteroids?
What are the side effects of inhaled corticosteroids?
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How can inhaled corticosteroids affect oral health?
How can inhaled corticosteroids affect oral health?
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How much of inhaled corticosteroids reaches the lungs?
How much of inhaled corticosteroids reaches the lungs?
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How can we prevent oral candidiasis caused by inhaled corticosteroids?
How can we prevent oral candidiasis caused by inhaled corticosteroids?
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How does good oral hygiene impact asthma management?
How does good oral hygiene impact asthma management?
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How do inhaled corticosteroids affect gingivitis?
How do inhaled corticosteroids affect gingivitis?
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What is the relationship between asthma and oral health?
What is the relationship between asthma and oral health?
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Theophylline-Erythromycin Interaction
Theophylline-Erythromycin Interaction
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What triggers asthma?
What triggers asthma?
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Who is most affected by asthma?
Who is most affected by asthma?
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How is asthma linked to oral health?
How is asthma linked to oral health?
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What are the effects of asthma medication on oral health?
What are the effects of asthma medication on oral health?
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How should dentists provide dental care for asthma patients?
How should dentists provide dental care for asthma patients?
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What is the role of dentists in asthma management?
What is the role of dentists in asthma management?
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Study Notes
Asthma and Dental Patients
- Asthma is a significant global health problem, affecting over 100 million people worldwide. Prevalence has risen steadily in the US in recent decades.
- Asthma mortality has nearly tripled in the past 20 years.
- Children, young adults and minorities in urban areas are disproportionately affected. This likely stems from various health disparities, including factors like poverty.
- Oral health care providers play a crucial role in managing a patient's overall health and how systemic conditions like asthma affect their oral health.
Asthma Pathophysiology
- Asthma is a chronic inflammatory disorder, chiefly affecting bronchioles. Symptoms include wheezing, chest tightness, and labored breathing.
- Airway obstruction results from a combination of smooth muscle spasm and inflammation.
- Airway inflammation can be acute, subacute or chronic varying in duration and cell types involved.
- Allergens and environmental factors are key in causing airway inflammation and obstruction.
- Asthma frequently worsens during certain seasons.
Asthma Diagnosis and Classification
- Asthma classification can consider etiology or severity.
- Diagnosis often relies on symptom evaluation and physical examination, potentially including pulmonary function tests, with a focus on reversibility of symptoms with bronchodilators.
- Severity is categorized based on symptom frequency (e.g., none, mild, moderate persisting), nighttime awakenings, and interference with daily activities.
Asthma Management and Treatment
- Asthma treatment largely focuses on controlling symptoms and preventing exacerbations.
- Initial treatment might include short-acting bronchodilators, such as metered-dose inhalers (MDIs).
- Sustained treatment may involve daily inhaled corticosteroids, as well as leukotriene antagonists.
- Systemic corticosteroids might be needed for severe cases.
Asthma and Dental Care
- The dental setting can trigger acute exacerbations, especially in patients with unstable or uncontrolled asthma.
- Certain dental materials or procedures can trigger asthma attacks, especially in people with a hypersensitivity to these agents.
- Dental procedures requiring long-term, or higher risk manipulations, which might include prolonged supine positioning, and excessive use of aerosols, should be done under careful supervision.
- Risk factors such as compromised immune function (due to medications), and history of severe or frequently occurring attacks are important considerations.
- Vasoconstrictors present in certain local anesthetics may be problematic for patients who use other medications for asthma or have associated conditions.
- Patients on long-term corticosteroid therapy may require special considerations like possible steroid replacement therapy before dental treatment, and antibiotic prophylaxis.
- Asthma patients should bring their rescue inhaler to appointments.
- Acute exacerbations can be mitigated by early recognition, discontinuing dental procedures, and appropriate management of symptoms as in an emergency protocol.
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