Term
| How long should asthma be controlled before stepping down therapy? |
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Definition
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Term
| After stepping up asthma therapy when should follow up be scheduled? |
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Definition
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Term
| What two things should be checked before stepping up asthma therapy? |
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Definition
1. adherence
2. environmental |
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Term
| To treat VERY poorly controlled asthma in 5-11yo consider: |
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Definition
1. Short course of oral corticosteroid
2. 1-2 step ups in therapy |
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Term
| Describe VERY poorly controlled asthma in 5-11yo |
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Definition
1. Nighttime awakening 2 times a week
2. Normal activities extremely limited
3. SABA use daily
4. FEV1 <75% predicted; <60% predicted personal best
5. symptoms throughout ea. day |
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Term
| Describe WELL controlled asthma in 5-11yo |
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Definition
1. Symptom 2 days a week; less than 1/day
2. nighttime awakening <1/month
3. SABA 2 days/wk
4. No interference w/ normal activity
5. FEV1 >80% predicted/predicted personal best |
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Term
| What does Step 1 asthma treatment look like for 5-11yo? |
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Definition
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Term
| Describe step 2 asthma treatment for 5-11yo |
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Definition
Preferred: Low dose ICS
Alternate:
LTRA
Cromolyn
Theophyline |
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Term
| Describe step 4 asthma treatment for 5-11yo |
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Definition
Preferred: Med dose ICS + LABA
Alternate:
Med dose ICS+LTRA
Med doe ICS+Theophiline |
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Term
| Describe step 5 asthma treatment for 5-11yo |
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Definition
Preferred: High dose ICS+LABA
Alternate:
High dose ICS+LTRA
High DOSE ICS+Theophiline |
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Term
| Describe step 3 asthma treatment for 5-11yo |
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Definition
Preferred: Med dose ICS+LABA
Med dose ICS + LTRA
Med dose ICS + Theophyiline
Alternate:
MED dose ICS |
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Term
| Describe step 6 asthma treatment for 5-11yo |
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Definition
Preferred: High dose ICS+LABA+oral corticosteroid
Alternate:
High dose ICS+LTRA+oral corticosteroid
High DOSE ICS+Theophiline+oral corticosteroid |
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Term
| How does classification of asthma (well controlled, not well controlled, poorly controlled) differ in 0-4yo from 5-11yo? |
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Definition
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Term
| How does step therapy of asthma differ in 0-4yo from 5-11yo? |
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Definition
Step 3 = Med dose ICS only
Step 4 = Med dose ICS+LABA or Singulair
Step 5 = High dose ICS+LABA or Singulair
Step 6= HIGH dose ICS+LABA or singulair +oral corticosteroid |
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Term
| Badger study take ways about asthma? |
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Definition
African Americans: LABA or ICS; LTRA least effective
White: LABA; ICS add-on least favorable |
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Term
| Per the asthma rules of two asthma is not controlled if: |
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Definition
Daytime symptom 2/wk
Nocturnal symptoms 2/mo
More than 2 SABA canisters used/yr
More than 2 courses of ICS/yr |
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Term
| Common dosing for fluticasone MDI in peds age 0-11: |
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Definition
Low 88-176mcg
Med 176-352
High >352 |
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Term
| Common dosing for mometasone DPI in peds age 5-11; not indicated for 0-4yo? |
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Definition
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Term
| Aside from Fluticasone MDI peds 0-4yo can also use____________ at what doses |
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Definition
Budesonide Nebs
L: 500mcg
M:1000
H: >1000 for 0-4; 2000 for 5-11 |
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Term
| T/F Cromolyn and Theophyline are not used in peds 0-4yo |
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Definition
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Term
| List 2 LTRA (Leukotriene receptor antagonists) agents |
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Definition
Montelukast (sold as Singulair®)
Zafirlukast (sold as Accolate®) |
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Term
| How does step 3 therapy differ between 0-4yo and 5-11yo? |
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Definition
5-11 alternate (Med dose ICS) is 0-4yo only treatment option.
5-11 yo preferred (Low dose ICS+LABA/LTRA+Theophiline) is not an option for 0-4yo |
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Term
| What is the only LTRA recommended for 0-4yo in steps 4, 5 and 6? |
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Definition
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Term
| How does step 4-6 therapy differ between 0-4yo and 5-11yo? |
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Definition
Theophilie is not an option for 0-4yo
The only LTRA agent 0-4 can use is singulair. |
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