19 results
Asthma Maintenance Therapy - Stepwise Approach 

Low dose ICS 
-> Low dose ICS/LABA or Med/High dose
Therapy - Stepwise ... -> Low dose ICS ... increasing medication therapy ... #Stepwise #Therapy ... #Pharmacology #Pulmonary
Chart of Inhalers for Asthma and COPD
 - SABA - Short Acting Beta-2 Agonists
 - SAMA
of Inhalers for Asthma ... Combination - ICS ... Combination - ICS ... Corticosteroid - ICS ... www.pyrls.com #inhalers #pulmonary
Asthma GINA Guidelines 2019 
If Asthma is uncontrolled, first assess for adherence and inhaler technique -Then,
increase stepwise therapy ... 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
220-440 >440 Asthma ... corticosteroid (ICS ... on what step of therapy ... overview of what ICS ... Corticosteroid #ICS
The 2019 Global Initiative for Asthma (GINA) treatment strategy figure for adults and adolescents, annotated to
Initiative for Asthma ... ICS: inhaled corticosteroids ... #GINA #Asthma #Management ... #Stepwise #Pulmonary
Stepwise approach for managing asthma in youths greater than 12 years of age and adults as
Prevention Program(4) Therapy ... 3 months, then therapy ... are as follows: ICS ... #Stepup #Therapy ... #LABA #ICS #Corticosteroid
Medical Treatment Algorithm for Chronic Obstructive Pulmonary Disease
Initial medical treatment of chronic obstructive pulmonary disease (COPD)
Chronic Obstructive Pulmonary ... chronic obstructive pulmonary ... escalation in therapy ... of expiration; ICS ... LAMA #SABA #SAMA #ICS
COPD Management Algorithm - GOLD 2019 guidelines 

Categorize into COPD GOLD A-D -> Initiate first-line therapy
Initiate first-line therapy ... which includes ICS ... ICS use should only ... Unnecessary ICS ... Guidelines #Management #Pulmonary
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
5 or elevated Cr ... common • Imaging: CXR ... - pulmonary opacities ... organ dysfuxtion, ICU
Allergic Bronchopulmonary Aspergillosis (ABPA)
WHAT IS IT?
Hypersensitivity response to Aspergillus fumigatus in the airways
 • Primarily affects
with underlying asthma ... Total IgE ( >1000 IU ... /- anti-fungal therapy ... ) • Anti-lgE therapy ... Aspergillosis #ABPA #pulmonary