Expiratory wheeze
Mild | FEV1 >80% |
Moderate | FEV1 50-80% |
Severe | FEV1 30-50% |
Very severe | FEV1 <30% |
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Abbreviations: SABA = short-acting Ξ²2 agonist; SAMA = short-acting muscarinic antagonist; LABA = long-acting Ξ²2 agonist; LAMA = long-acting muscarinic antagonist; ICS = inhaled corticosteroid
Common inhalers
SABA
Ventolin (salbutamol)
SAMA
Atrovent (ipratropium)
LABA + LAMA
Anoro = Vilanterol + Umeclidinium
Ultibro = Indacaterol + Glycopyrronium
Duaklir = Formoterol + Aclidinium
Spiolto = Olodaterol + Tiotropium
LABA + ICS
Fostair =Β formoterol + beclomethasone
Seretide =Β salmeterol + fluticasone
Symbicort =Β formoterol + budesonide
LABA + LAMA + ICS
TrimbowΒ = formoterol + glycopyrronium + beclomethasone
Trelegy ElliptaΒ = vilanterolΒ + umeclidiniumΒ + Fluticasone
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What are the different types of inhaler devices are available?
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How would you instruct a patient on how to use a metered dose inhaler?
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What is type 1 and type 2 respiratory failure?
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A patient presents to ED with chest pain and this trace. What would you do?
Interpretation management