EMQ practice - Treatment of asthma and COPD

Treatment of asthma and COPD

• 7 year old girl, slight wheeze, SOB, already on inhaled salbutamol
• Oral sodium chromoglycate
• Inhaled salbutamol
• Use spacer
• In young patients, optimise bronchodilator therapy as early initiation of corticosteroids may lead to growth retardation
• 22 year old student, mild asthma, treatment for occasional early morning wheeze
• Inhaled salbutamol
• Step 1 of management
• 17 year old student, Male, salbutamol inhaler regularly to control wheezing
• Inhaled beclomethasone
• Step 2 of management
• 32 year old patient, maximum dose-inhaled therapy and slow-release theophylline, persistently inadequate control of symptoms
• Oral prednisolone
• Step 5
• Need specialise care too
• 25 year old woman, add on therapy because inhaled beclomethasone and salbutamol not adequate
• LABA
• Alternatively, could increase steroid dose