Asthma Management and Dosing Details Quiz
116 Questions
3 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the recommended dosing of fluticasone propionate in Step 2 of asthma management?

  • 100-250 mcg once daily
  • 100-250 mcg twice daily (correct)
  • 50 mcg twice daily
  • 250-500 mcg twice daily

    • What is the recommended dosing of salmeterol in Step 3 of asthma management?

  • 50 mcg once daily
  • 50 mcg twice daily (correct)
  • 25 mcg twice daily
  • 100 mcg twice daily

    • At what FEV1 level range may a patient be when considering increasing the dose of IGC in Step 4?

  • 60-80% predicted (correct)
  • 40-60% predicted
  • 80-100% predicted
  • <40% predicted

    • What is the next step advised for patients with severe uncontrolled asthma despite Step 4 treatment?

    <p>Consult a specialist and consider alternative therapies</p> Signup and view all the answers

    What is the recommended emergency evaluation criteria for persons with signs and symptoms suggestive of respiratory compromise?

    <p>Respiratory rate &gt;30/min, pulse rate &gt;120 beats per minute, O2 saturation &lt;90% on room air</p> Signup and view all the answers

    In asthma management, how often do patients experience symptoms 'Daily' according to the text?

    <p>Every day</p> Signup and view all the answers

    Which lung function test result indicates a severe limitation on normal activity in asthma patients?

    <p>FEV1 &gt;60% but &lt;80% of predicted</p> Signup and view all the answers

    What is the recommended respiratory rate threshold indicating a need for emergency evaluation in persons with signs and symptoms suggestive of respiratory compromise?

    <p>&gt;30/min</p> Signup and view all the answers

    Which parameter is used to assess the effect on normal activity in asthma patients?

    <p>Lung function tests</p> Signup and view all the answers

    In asthma management, what level of FEV1 indicates a normal lung function between exacerbations?

    <p>&gt;80% of predicted</p> Signup and view all the answers

    Which of the following symptoms is NOT a clinical hallmark of asthma?

    <p>Sore throat</p> Signup and view all the answers

    What is the recommended action for patients with PEF values below 50% predicted or personal best?

    <p>Immediate medical care</p> Signup and view all the answers

    What initial treatment is recommended for less severe signs and symptoms of an asthma attack?

    <p>Inhaled SABA</p> Signup and view all the answers

    Which sign or symptom should lead to immediate medical attention after initial treatment for a high-risk asthma attack patient?

    <p>Marked breathlessness</p> Signup and view all the answers

    In asthma management, what level of PEF would indicate a Poor Response to initial treatment?

    <p>PEF is 50%–79% predicted or personal best</p> Signup and view all the answers

    Which symptom assessment corresponds to a Marked wheezing and dyspnea response to asthma treatment?

    <p>Persistent wheezing and dyspnea</p> Signup and view all the answers

    When assessing the effect on normal activity in asthma patients, which lung function test result would indicate Severe limitation?

    <p>FEV1 &gt;60% but &lt;80% of predicted</p> Signup and view all the answers

    Which factor increases the risk of asthma exacerbations, even if the patient is experiencing few asthma symptoms?

    <p>High SABA use</p> Signup and view all the answers

    When should risk factors for poor asthma outcomes be assessed?

    <p>At diagnosis and every 1-2 years</p> Signup and view all the answers

    What lung function test should be measured periodically for ongoing assessment in asthma patients?

    <p>FEV1</p> Signup and view all the answers

    Which of the following is NOT a risk factor for poor asthma outcomes?

    <p>High ICS adherence</p> Signup and view all the answers

    What is a significant risk factor for exacerbations in asthma patients?

    <p>&gt;1 x 200-dose canister/month of SABA use</p> Signup and view all the answers

    How often should FEV1 be measured in asthma patients for ongoing assessment?

    <p>Periodically for ongoing assessment</p> Signup and view all the answers

    What is the recommended frequency for assessing risk factors for poor asthma outcomes?

    <p>Every 1-2 years</p> Signup and view all the answers

    Which of the following is considered an important risk factor for asthma exacerbations?

    <p>High SABA use</p> Signup and view all the answers

    What lung function should be measured at the start of treatment and periodically for ongoing assessment in asthma patients?

    <p>FEV1</p> Signup and view all the answers

    Which of the following increases the risk of asthma exacerbations, even if the patient is experiencing few asthma symptoms?

    <p>Incorrect inhaler technique</p> Signup and view all the answers

    What does a patient experience if needing reliever medication more than twice a week in the past 4 weeks?

    <p>Uncontrolled asthma</p> Signup and view all the answers

    Which risk factor for poor asthma outcomes has an increased mortality risk if exceeding more than one 200-dose canister per month?

    <p>High SABA use</p> Signup and view all the answers

    What is the recommended controller choice for asthma patients with symptoms more often than twice a month and waking due to asthma more than once a month?

    <p>Medium-dose ICS + LTRA</p> Signup and view all the answers

    For purely seasonal allergic asthma, when should ICS treatment be started?

    <p>Immediately upon onset of symptoms</p> Signup and view all the answers

    In Step 3 of asthma management, what is a preferred controller option besides low-dose ICS/LABA?

    <p>Tiotropium by mist inhaler</p> Signup and view all the answers

    What is a recommended controller choice for patients with a history of exacerbations in Step 4 of asthma management?

    <p>High-dose ICS/LABA</p> Signup and view all the answers

    In Step 2 of asthma management, what is an alternative controller option to low-dose ICS?

    <p>Leukotriene receptor antagonist (LTRA)</p> Signup and view all the answers

    For patients with purely seasonal allergic asthma, when should the use of ICS be discontinued?

    <p>After 4 weeks of exposure</p> Signup and view all the answers

    In Step 3 of asthma management, what is an alternative to low-dose ICS/LABA as a preferred controller choice?

    <p>Medium-dose ICS + LTRA</p> Signup and view all the answers

    What is the recommended daily dosage range for budesonide suspension for nebulization in children aged 1-8 years?

    <p>250-500 mcg/day</p> Signup and view all the answers

    What is the recommended dosage of montelukast (Singulair) for a 6-year-old patient?

    <p>One 5-mg chewable tablet every evening</p> Signup and view all the answers

    What is the correct dosage of beclomethasone dipropionate (QVAR) MDI for adults?

    <p>40-320 mcg twice daily</p> Signup and view all the answers

    What is the recommended dosage of zafirlukast (Accolate) for a 13-year-old patient?

    <p>20-mg twice daily</p> Signup and view all the answers

    What is the recommended dosage range for fluticasone propionate (Flovent Diskus) DPI in children aged 4-11 years?

    <p>50-100 mcg twice daily</p> Signup and view all the answers

    What is the initial dosage of albuterol (ProAir HFA) for children using a solution for nebulization?

    <p>0.63–2.5 mg/kg every 4–6 h PRN</p> Signup and view all the answers

    What is the correct dosing schedule for mometasone furoate (Asmanex Twisthaler) DPI in children aged 4-11 years?

    <p>110 mcg once daily</p> Signup and view all the answers

    What is the recommended dosage of formoterol (Foradil Aerolizer) for adults using a DPI?

    <p>1 inhalation every 12 h</p> Signup and view all the answers

    What is the recommended dosage of ciclesonide (Alvesco) MDI for children aged 12 years and above?

    <p>80-320 mcg twice daily</p> Signup and view all the answers

    What is the dosage of ipratropium (Atrovent HFA) for nebulization in a patient who requires it four times daily?

    <p>500 mcg/vial</p> Signup and view all the answers

    What is the correct dosage range for flunisolide (AeroBid) MDI in children aged 6-11 years?

    <p>160-320 mcg twice daily</p> Signup and view all the answers

    What is the correct daily dosage of tiotropium (Spiriva) for patients using HandiHaler DPI?

    <p>18 mcg once daily</p> Signup and view all the answers

    What is the recommended dosing for budesonide/formoterol (Symbicort) HFA 160 mcg/4.5 mcg?

    <p>2 inhalations twice daily</p> Signup and view all the answers

    How many times a day is Combivent Respimat Inhaler (ipratropium/albuterol) recommended to be used?

    <p>4 times daily</p> Signup and view all the answers

    What is the formulation per inhalation for Stiolto Respimat Inhaler (olodaterol/tiotropium)?

    <p>2.5 mcg olodaterol/2.5 mcg tiotropium</p> Signup and view all the answers

    What is the recommended dosing for Mometasone/formoterol (Dulera) HFA 100 mcg/5 mcg?

    <p>2 inhalations twice daily</p> Signup and view all the answers

    How many times a day should Utibron Neohaler Inhaler (indacaterol/glycopyrronium) be used?

    <p>Twice daily</p> Signup and view all the answers

    What is the formulation per inhalation for Anoro Ellipta Inhaler (umeclidinium/vilanterol)?

    <p>62.5 mcg umeclidinium/25 mcg vilanterol</p> Signup and view all the answers

    Which adverse effect is commonly associated with theophylline therapy in elderly men with prostatism?

    <p>Difficulty in urination</p> Signup and view all the answers

    What is the recommended serum concentration range of theophylline at steady state?

    <p>5–15 mcg/mL</p> Signup and view all the answers

    Which factor is essential due to wide interpatient variability in theophylline metabolic clearance?

    <p>Routine serum theophylline level monitoring</p> Signup and view all the answers

    What adverse effects are commonly associated with inhaled short-acting β2 agonists?

    <p>Tachycardia and skeletal muscle tremor</p> Signup and view all the answers

    What is a characteristic of ipratropium when used in the ED setting?

    <p>It provides less bronchodilation compared to SABAs</p> Signup and view all the answers

    What does the combination of ipratropium with albuterol nebulizer solution contain to prevent discoloration?

    <p>EDTA</p> Signup and view all the answers

    What is the advantage of administering corticosteroids for long-term treatment of severe persistent asthma on alternate days?

    <p>To reduce the risk of adrenal suppression</p> Signup and view all the answers

    Which side effect is associated with inhaled long-acting β2 agonists like salmeterol and formoterol?

    <p>Tachycardia</p> Signup and view all the answers

    What precaution should be taken when administering zafirlukast for asthma treatment?

    <p>Monitor hepatic enzymes (ALT) regularly</p> Signup and view all the answers

    What is a dose-related acute toxicity associated with theophylline use in asthma patients?

    <p>Tachycardia</p> Signup and view all the answers

    What is a potential complication of using budesonide/formoterol for asthma management?

    <p>Diminished bronchoprotective effects</p> Signup and view all the answers

    Which enzyme inhibition can occur due to zileuton usage in asthma patients?

    <p>Microsomal P450 enzyme inhibition</p> Signup and view all the answers

    What is a potential reversible abnormality in glucose metabolism associated with short-term use of systemic corticosteroids?

    <p>Hyperglycemia</p> Signup and view all the answers

    In addition to weight gain, which of the following is another adverse effect associated with the use of systemic corticosteroids?

    <p>Muscle weakness</p> Signup and view all the answers

    What condition should be considered for worsened outcomes if coexisting with systemic corticosteroid use?

    <p>Osteoporosis</p> Signup and view all the answers

    For how long should a short course 'burst' of systemic corticosteroids typically be continued until the patient achieves 80% PEF or symptom resolution?

    <p>10-14 days</p> Signup and view all the answers

    'There is no evidence that tapering the dose after improvement prevents relapse in asthma exacerbations' implies which of the following?

    <p>Tapering the dose is essential for preventing relapse.</p> Signup and view all the answers

    Which other systemic corticosteroid is likely to be as effective as prednisolone when given in equipotent daily doses?

    <p>Hydrocortisone</p> Signup and view all the answers

    'May be used in place of a short burst of oral steroids in patients who are vomiting or if adherence is a problem' refers to the usage of which medication?

    <p>Methylprednisolone acetate Repository injection</p> Signup and view all the answers

    'Action may begin within an hour.' indicates the rapid onset of action of which medication?

    <p>Methylprednisolone acetate Repository injection</p> Signup and view all the answers

    'Consideration should be given to coexisting conditions that could be worsened by systemic corticosteroids' includes all EXCEPT:

    <p>'Hyperthyroidism'</p> Signup and view all the answers

    'May require longer' refers to what aspect of treatment with systemic corticosteroids?

    <p>'Duration'</p> Signup and view all the answers

    What is the recommended action to reduce exposures to domestic dust mite allergens?

    <p>Replace carpets with linoleum or wood flooring</p> Signup and view all the answers

    How should patients and parents handle exposure to tobacco smoke based on the text?

    <p>Stay away from tobacco smoke</p> Signup and view all the answers

    What action should be taken to reduce exposure to allergens from animals with fur?

    <p>Remove animals from the home, or at least from the sleeping area</p> Signup and view all the answers

    Which action reduces exposure to indoor mold according to the text?

    <p>Reduce dampness in the home and clean any damp areas frequently</p> Signup and view all the answers

    How should physical activity be managed for asthma patients according to the text?

    <p>Prevent symptoms by taking certain medications before exercise</p> Signup and view all the answers

    What is the recommended method for assessing pulmonary function in asthma management, as emphasized in the text?

    <p>Monitoring with peak expiratory flow meters</p> Signup and view all the answers

    Why is it important for individuals with moderate to severe asthma to monitor their PEF levels at home?

    <p>To assess their response to treatment accurately</p> Signup and view all the answers

    In the context of asthma management, what is the purpose of the zone system that uses green, yellow, and red zones?

    <p>To assist patients in interpreting their symptoms and PEF results</p> Signup and view all the answers

    What does the yellow zone in the zone system for asthma management suggest about a patient's condition?

    <p>Their condition is deteriorating and requires caution</p> Signup and view all the answers

    Why is it important to reassess an individual's personal best PEF periodically in asthma management?

    <p>To account for any progression in the severity of their disease</p> Signup and view all the answers

    What is the significance of the yellow zone in an asthma action plan?

    <p>It signals a deterioration in airway obstruction that needs intervention</p> Signup and view all the answers

    What immediate actions are recommended in the red zone of an asthma action plan?

    <p>Use inhaled rescue bronchodilator therapy and initiate or increase oral corticosteroids</p> Signup and view all the answers

    What is the central focus for improving asthma adherence according to the text?

    <p>Therapeutic provider-patient relationship</p> Signup and view all the answers

    Why is it recommended for patients with chronic severe asthma to be evaluated by an asthma specialist after a hospitalization?

    <p>To prevent future exacerbations and improve control</p> Signup and view all the answers

    What has been the impact of obesity on asthma outcomes according to the information provided?

    <p>Obesity is associated with worsened asthma control and increased risk of morbidity</p> Signup and view all the answers

    Why is it recommended for pregnant women with asthma to monitor pulmonary function throughout pregnancy?

    <p>To detect a 20% drop in peak flow that often precedes symptoms</p> Signup and view all the answers

    Why does asthma tend to be less well recognized among older adults?

    <p>Because older adults often have symptoms that mimic other respiratory ailments</p> Signup and view all the answers

    What is a key consideration when managing asthma in pregnant women?

    <p>Maintaining good asthma control before and during pregnancy</p> Signup and view all the answers

    Why is it important to distinguish between asthma and COPD in older adults?

    <p>Because the treatment approaches differ for each condition</p> Signup and view all the answers

    What is a characteristic of asthma management in older adults?

    <p>Older adults generally experience symptoms at a later age than younger individuals</p> Signup and view all the answers

    What may enhance drug delivery in older adults with asthma?

    <p>Spacers</p> Signup and view all the answers

    What is a common complication of asthma that is characterized by symptoms not improving with initial treatment?

    <p>Status asthmaticus</p> Signup and view all the answers

    Which factor has been identified to increase the risk of fatal asthma?

    <p>Comorbidity such as cardiovascular disease</p> Signup and view all the answers

    What is recommended for patients with signs and symptoms suggestive of respiratory compromise?

    <p>Early intubation</p> Signup and view all the answers

    What is a significant challenge in patient education related to asthma management?

    <p>Ongoing maintenance and prevention requirements</p> Signup and view all the answers

    What should patients and their families be well educated about in order to achieve goals of asthma treatment besides episodic relief of symptoms?

    <p>Understanding the role of airway inflammation in asthma</p> Signup and view all the answers

    What is the definition of asthma control?

    <p>Being able to engage in normal activities without limitations</p> Signup and view all the answers

    What is the purpose of long-term control medications in asthma treatment according to the text?

    <p>To prevent symptoms by reducing inflammation</p> Signup and view all the answers

    What self-monitoring skills are asthma patients advised to have that are tied to an action plan?

    <p>Recognizing intensity and frequency of asthma symptoms</p> Signup and view all the answers

    What is a key aspect of the written Asthma Action Plan (AAP) that patients should be familiar with?

    <p>Instructions for recognizing and handling worsening asthma only</p> Signup and view all the answers

    What is a key focus area during subsequent visits for asthma patients, as recommended in the text?

    <p>Reviewing asthma control and medications</p> Signup and view all the answers

    What specific technique should be taught or reviewed for asthma management, as highlighted in the text?

    <p>Peak flow monitoring technique</p> Signup and view all the answers

    Which aspect of asthma management should patients be educated on in simple language, according to the text?

    <p>Medication self-assessment</p> Signup and view all the answers

    What is a crucial step to confirm during patient education regarding asthma exacerbations, as mentioned in the text?

    <p>Confirming patients' knowledge of what to do if asthma worsens</p> Signup and view all the answers

    Which item should be reviewed and demonstrated to patients for effective asthma management, per the text?

    <p>Inhaler/spacer technique</p> Signup and view all the answers

    In the context of asthma management, what should patients be confirmed to know in case of worsening symptoms?

    <p>What to do if asthma gets worse</p> Signup and view all the answers

    Which factor should be prioritized during patient education sessions for effective asthma control?

    <p>'Asthma control and medications'</p> Signup and view all the answers

    What type of assessment should patients be able to perform for asthma control, as indicated in the text?

    <p>'Self-assessment of asthma control'</p> Signup and view all the answers

    'Quality of life' is mentioned as an important focus area during subsequent visits to assess what aspect of asthma management?

    <p>'Quality of life' related to asthma management</p> Signup and view all the answers

    'Teach or review and demonstrate' are actions recommended for which specific technique in the text?

    <p>'Inhaler/spacer or VHC technique'</p> Signup and view all the answers

    More Like This

    Use Quizgecko on...
    Browser
    Open
    Browser
    Browser