Podcast
Questions and Answers
What is the definition for a disease of diffuse airway inflammation caused by a variety of triggering stimuli, resulting in partially or completely reversible bronchoconstriction?
What is the definition for a disease of diffuse airway inflammation caused by a variety of triggering stimuli, resulting in partially or completely reversible bronchoconstriction?
Asthma.
What are the 4 primary symptoms and signs of asthma?
What are the 4 primary symptoms and signs of asthma?
- Dyspnea.
- Chest tightness.
- Cough.
- Wheezing.
How fast do most severe exacerbations of asthma that are treated in the emergency department resolve?
How fast do most severe exacerbations of asthma that are treated in the emergency department resolve?
Within 2 hours after presentation.
Although the onset and duration of symptoms and the worsening of airflow obstruction before presentation are variable, how fats do these problems usually occur?
Although the onset and duration of symptoms and the worsening of airflow obstruction before presentation are variable, how fats do these problems usually occur?
How often does a patient have rapid, catastrophic onset of acute asthma, which can be fatal?
How often does a patient have rapid, catastrophic onset of acute asthma, which can be fatal?
11 signs of a fatal asthma attack:
11 signs of a fatal asthma attack:
3 symptoms of fatal asthma attack
3 symptoms of fatal asthma attack
2 general classes of medications for asthma, and what each is used to treat:
2 general classes of medications for asthma, and what each is used to treat:
What are inhaled bronchodilators that are the therapy of choice for relief of acute symptoms and prevention of symptoms called?
What are inhaled bronchodilators that are the therapy of choice for relief of acute symptoms and prevention of symptoms called?
What are short-acting rescue drugs are effective in relieving in the case of an acute asthma exacerbation?
What are short-acting rescue drugs are effective in relieving in the case of an acute asthma exacerbation?
3 short-acting rescue drugs:
3 short-acting rescue drugs:
Why are short-acting beta-agonists considered rescue inhalers?
Why are short-acting beta-agonists considered rescue inhalers?
When does the action of inhaled bronchodilators starts?
When does the action of inhaled bronchodilators starts?
What are short-acting bronchodilators used before exercise to prevent?
What are short-acting bronchodilators used before exercise to prevent?
What is the SABA that is administered by a metered-dose inhaler, often with a spacer?
What is the SABA that is administered by a metered-dose inhaler, often with a spacer?
What type of treatment is preferred for people who have difficulties coordinating MDIs and spacers?
What type of treatment is preferred for people who have difficulties coordinating MDIs and spacers?
What is a nebulizer?
What is a nebulizer?
When a nebulizer is used, what are the 2 things it could be called?
When a nebulizer is used, what are the 2 things it could be called?
Who should patients be instructed on nebulizer use by?
Who should patients be instructed on nebulizer use by?
Should ATs be able to assist in the use of a nebulizer?
Should ATs be able to assist in the use of a nebulizer?
What 2 things should be measured for acute asthma exacerbations, when possible?
What 2 things should be measured for acute asthma exacerbations, when possible?
For what patients is pharmacological intervention is necessary?
For what patients is pharmacological intervention is necessary?
Recommendations from the NATA Position Statement on Management of Asthma in Athletes indicate that the AT should administer how many up puffs of SABA in 1 hour, and reassessing the patient response to treatment how often?
Recommendations from the NATA Position Statement on Management of Asthma in Athletes indicate that the AT should administer how many up puffs of SABA in 1 hour, and reassessing the patient response to treatment how often?
4 steps that are recommended if the episode is severe and response is poor (PEF <60% of personal or predicted best):
4 steps that are recommended if the episode is severe and response is poor (PEF <60% of personal or predicted best):
May the acute exacerbation be managed in the prehospital athletic training setting when short-acting rescue drugs are effective (symptoms are relieved and PEF returns to >80% of baseline)?
May the acute exacerbation be managed in the prehospital athletic training setting when short-acting rescue drugs are effective (symptoms are relieved and PEF returns to >80% of baseline)?
What should be done for patients who do not respond or have severe symptoms or a PEF persistently <80% of baseline?
What should be done for patients who do not respond or have severe symptoms or a PEF persistently <80% of baseline?
What do anticholinergic medications do, and how do they do it?
What do anticholinergic medications do, and how do they do it?
What does administration of anticholinergics with SABAs provide?
What does administration of anticholinergics with SABAs provide?
How long do anticholinergics take to administer compared to SABAs, and why may the replace SABAs in certain situations?
How long do anticholinergics take to administer compared to SABAs, and why may the replace SABAs in certain situations?
What 3 things can anticholinergics be coadministered with for patients who do not respond optimally to albuterol alone
What 3 things can anticholinergics be coadministered with for patients who do not respond optimally to albuterol alone
What is a soft mist inhaler?
What is a soft mist inhaler?
How do corticosteroid drugs work?
How do corticosteroid drugs work?
What happens as a result of corticosteroid drugs?
What happens as a result of corticosteroid drugs?
What are systemic corticosteroids, although not short acting, used for?
What are systemic corticosteroids, although not short acting, used for?
What may be prescribed for all but the mildest acute exacerbation?
What may be prescribed for all but the mildest acute exacerbation?
Who are systemic corticosteroids unnecessary for?
Who are systemic corticosteroids unnecessary for?
What are higher doses of prednisone (50 to 60 mg once a day) prescribed for?
What are higher doses of prednisone (50 to 60 mg once a day) prescribed for?
What are lower doses (40 mg once a day) of prednisone reserved for?
What are lower doses (40 mg once a day) of prednisone reserved for?
Although evidence about optimal dose and duration is weak, what systemic corticosteroid treatment duration is recommended?
Although evidence about optimal dose and duration is weak, what systemic corticosteroid treatment duration is recommended?
4 long-term asthma control drugs that help prevent asthma attacks:
4 long-term asthma control drugs that help prevent asthma attacks:
What are the most potent and consistently effective anti-inflammatory medications currently available for long-term control of asthma?
What are the most potent and consistently effective anti-inflammatory medications currently available for long-term control of asthma?
What do inhaled corticosteroids block?
What do inhaled corticosteroids block?
What may account for the efficacy of inhaled corticosteroids as preventive therapy?
What may account for the efficacy of inhaled corticosteroids as preventive therapy?
How often do inhaled corticosteroids need to be taken for best results?
How often do inhaled corticosteroids need to be taken for best results?
When can some improvement in asthma symptoms be seen after regular inhaled corticosteroid use?
When can some improvement in asthma symptoms be seen after regular inhaled corticosteroid use?
7 clinical effects of inhaled corticosteroids:
7 clinical effects of inhaled corticosteroids:
What do inhaled corticosteroid anti-inflammatory medications cause?
What do inhaled corticosteroid anti-inflammatory medications cause?
Why can many drugs may be considered anti-inflammatory?
Why can many drugs may be considered anti-inflammatory?
Which anti-inflammatory actions are responsible for corticosteroid drugs’ therapeutic effects in asthma?
Which anti-inflammatory actions are responsible for corticosteroid drugs’ therapeutic effects in asthma?
What are inhaled corticosteroids commonly prescribed as?
What are inhaled corticosteroids commonly prescribed as?
What do inhaled corticosteroid dosing guidelines depend on?
What do inhaled corticosteroid dosing guidelines depend on?
2/4 examples of other common medications include a combination of corticosteroids and a long-acting bronchodilator drug (LABA):
2/4 examples of other common medications include a combination of corticosteroids and a long-acting bronchodilator drug (LABA):
What are bronchodilators that have a duration of bronchodilation of ≥12 hours after a single dose called?
What are bronchodilators that have a duration of bronchodilation of ≥12 hours after a single dose called?
Why is frequent and chronic use of LABAs discouraged?
Why is frequent and chronic use of LABAs discouraged?
What can overuse of LABAs in treating acute asthma exacerbations result in?
What can overuse of LABAs in treating acute asthma exacerbations result in?
What is the name of an inhaled bronchodilator that has duration of bronchodilation of at least 12 hours after a single dose?
What is the name of an inhaled bronchodilator that has duration of bronchodilation of at least 12 hours after a single dose?
3 common examples of LABAs: (Acronym: FASt)
3 common examples of LABAs: (Acronym: FASt)
In what form are LABA medications available?
In what form are LABA medications available?
How many doses does a DPI Diskus contain?
How many doses does a DPI Diskus contain?
What does a DPI diskus contain to count down the number of doses remaining?
What does a DPI diskus contain to count down the number of doses remaining?
What is an alternative, but not preferred, medication for the treatment of mild persistent asthma?
What is an alternative, but not preferred, medication for the treatment of mild persistent asthma?
What are inhaled mast cell stabilizers also used as other than treatment of mild persistent asthma?
What are inhaled mast cell stabilizers also used as other than treatment of mild persistent asthma?
What mast cell stabilizer may be used as a nebulized treatment prior to exercise or unavoidable exposure to known allergens?
What mast cell stabilizer may be used as a nebulized treatment prior to exercise or unavoidable exposure to known allergens?
Although experts do not currently recommend cromolyn for routine use for asthma due to its lower efficacy relative to other therapies, what may the drug be considered for?
Although experts do not currently recommend cromolyn for routine use for asthma due to its lower efficacy relative to other therapies, what may the drug be considered for?
Although cromolyn can be used for bronchospasm, use of what is needed is preferred instead?
Although cromolyn can be used for bronchospasm, use of what is needed is preferred instead?
What may leukotriene modifiers be used for?
What may leukotriene modifiers be used for?
What 3 substances are leukotrienes released from?
What 3 substances are leukotrienes released from?
What health condition is leukotriene receptor occupation the pathophysiology of?
What health condition is leukotriene receptor occupation the pathophysiology of?
What do leukotriene-receptor antagonists, such as montelukast (Singulair), prevent leukotrienes from doing?
What do leukotriene-receptor antagonists, such as montelukast (Singulair), prevent leukotrienes from doing?
What is the only way that leukotriene modifiers are administered?
What is the only way that leukotriene modifiers are administered?
What have leukotriene modifiers been shown to decrease and be effective in?
What have leukotriene modifiers been shown to decrease and be effective in?
What makes the use of montelukast less desirable?
What makes the use of montelukast less desirable?
The FDA issued a black box warning for which medication in March 2020 to describe possible serious mental health side effects?
The FDA issued a black box warning for which medication in March 2020 to describe possible serious mental health side effects?
What is it recommended that montelukast be reserved only for?
What is it recommended that montelukast be reserved only for?
What 3 elements does determining whether control of asthma is effective include?
What 3 elements does determining whether control of asthma is effective include?
3 steps of determining the effectiveness of asthma medication:
3 steps of determining the effectiveness of asthma medication:
Ideally, what would the AT will that allows him/ her to provide SABA to patients with an asthma exacerbation, and what must it be consistent with?
Ideally, what would the AT will that allows him/ her to provide SABA to patients with an asthma exacerbation, and what must it be consistent with?
When administering bronchodilator treatment, should the AT should delay patient transport to hospital?
When administering bronchodilator treatment, should the AT should delay patient transport to hospital?
Can bronchodilator treatment be repeated while transporting the patient?
Can bronchodilator treatment be repeated while transporting the patient?
How many times is repeated bronchodilator treatment limited to?
How many times is repeated bronchodilator treatment limited to?
When can the prescriber use the patient’s data to reassess her medication and carefully titrate it down in a stepwise protocol to the minimum dose necessary for maintaining control?
When can the prescriber use the patient’s data to reassess her medication and carefully titrate it down in a stepwise protocol to the minimum dose necessary for maintaining control?
3 elements of asthma control:
3 elements of asthma control:
To assess the patient’s need and response to asthma medication, what should be found?
To assess the patient’s need and response to asthma medication, what should be found?
When should the peak flow assessment device be used?
When should the peak flow assessment device be used?
To work with the patient in determining her individual personal best peak flow number, instruct her to take peak flow readings at the following four times:
To work with the patient in determining her individual personal best peak flow number, instruct her to take peak flow readings at the following four times:
In general, patients with well-controlled asthma should fit the following profile with 7 parts to it:
In general, patients with well-controlled asthma should fit the following profile with 7 parts to it:
Recommendations for preventing exacerbation of exercise-induced asthma:
Recommendations for preventing exacerbation of exercise-induced asthma:
What is a certified asthma educator?
What is a certified asthma educator?
What must people who are not HCPs do to become a certified asthma educator?
What must people who are not HCPs do to become a certified asthma educator?
Flashcards
Capital of France (example flashcard)
Capital of France (example flashcard)
Paris
