19 results
Asthma Maintenance Therapy - Stepwise Approach 

Low dose ICS 
-> Low dose ICS/LABA or Med/High dose
Approach Low dose ICS ... Med/High dose ICS ... -> High dose ICS ... Corticosteroids (ICS ... at a low dose ICS
Chart of Inhalers for Asthma and COPD
 - SABA - Short Acting Beta-2 Agonists
 - SAMA
Combination - ICS ... Combination - ICS ... Corticosteroid - ICS ... chart, this one is
Incomplete spinal cord syndromes (ISCS)
 • Central - Small Lesion - Suspended sensory deficit, classic cape
cord syndromes (ISCS ... rg.2018170178 #ISCS ... #Incomplete #spinalcord
Asthma GINA Guidelines 2019 
If Asthma is uncontrolled, first assess for adherence and inhaler technique -Then,
2019 If Asthma is ... then a low dose ICS ... then step up to ICS ... strength of the ICS ... recommending low dose ICS
Inhaled Corticosteroid Inhaler Strengths
Beclomethasone	Qvar	100-200	>200400	>400
Budesonide	Pulmicort	200-400	>400-800	>800
Ciclesonide	Alvesco	80-160	>160-320	>320
Fluticasone furoate	Arnuity Ellipta	100	n/a	200
Fluticasone dipropionate	Flovent	100-250	>250-500	>500
Mometasone fuorate	Asmanex	110-220	>220-440	>440

Asthma maintenance inhalers should always include an inhaled corticosteroid
corticosteroid (ICS ... step of therapy is ... overview of what ICS ... Corticosteroid #ICS
The 2019 Global Initiative for Asthma (GINA) treatment strategy figure for adults and adolescents, annotated to
ICS: inhaled corticosteroids ... long-acting β2-agonists; OCS
Pharmacologic treatment algorithms by Global Initiative for Chronic Obstructive Lung Disease grade. Highlighted boxes and arrows
further evaluation is ... long-acting β2-agonist; ICS ... GOLD2017 #LAMA #LABA #ICS
Spinal Cord Injury by Nerve Root Levels
Spinal Root	Sensory	Motor	Reflex
C4	Acromioclavicular Joint	Respiration	None
C5	Radial Antecubital Fossa	Elbow Flexion	Biceps Reflex
C6	Dorsal Thumb	Wrist Extension	Brachioradialis Reflex
C7	Dorsal
Thigh Hip Flexion Cremasteric ... Sphincter None #SpinalCord
LABA/ICS Combination Inhalers
Long-Acting Beta2 Agonists (LABA) + Inhaled Corticosteroid (ICS) - Commonly used in Asthma 
Advair
LABA/ICS Combination ... Corticosteroid (ICS ... Here are the LABA/ICS ... These combo LABA/ICS ... Breo Ellipta is
Tracheobronchial Smooth Muscle Atrophy and Separation (TB-SMAS) on Bronchoscopy

TB-SMAS in a chronic ICS user (association)

Dr. Udit
TB-SMAS in a chronic ICS