Transcript Asthma is only ever developed in childhood.

ASTHMA
The Jeopardy Edition
Epidemiology
Treatment
Patient Beliefs
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300
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400
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Pathophysiology
100
200
Asthma is only ever developed in
childhood.
True
Or…
False
Asthma is only ever developed in childhood.
Oops…
According to the Asthma and Allergy Foundation of
America, asthma can be developed at any age. If
asthma is developed in adulthood, the asthma is
diagnosed as adult onset asthma.
Asthma is only ever developed in childhood.
Correct!
According to the Asthma and Allergy Foundation of
America, asthma can be developed at any age. If
asthma is developed in adulthood, the asthma is
diagnosed as adult onset asthma.
Asthma is more prevalent for those
with family incomes below the
poverty level.
True
Or…
False
Asthma is more prevalent for those with
family incomes below the poverty level.
Correct!
The Centre for Disease Control and Prevention reports:
“While 11.2% of those with incomes less than 100% of
the poverty level had asthma, asthma prevalence was
8.7% for persons with incomes 100% to less than 200%
of the poverty level, and 7.3% for persons with incomes
at least 200% of the poverty level.”
Asthma is more prevalent for those with
family incomes below the poverty level.
Oops…
The Centre for Disease Control and Prevention reports:
“While 11.2% of those with incomes less than 100% of
the poverty level had asthma, asthma prevalence was
8.7% for persons with incomes 100% to less than 200%
of the poverty level, and 7.3% for persons with incomes
at least 200% of the poverty level.”
Asthma is associated with comorbidities
(meaning other illnesses) including mental
illness.
True
Or…
False
Asthma is associated with comorbidities
(meaning other illnesses) including mental
illness.
Correct!
According to a 2009 Canadian study called “The added
burden of comorbidity in patients with asthma”,
respondents with asthma were more likely to have
comorbidities including non-asthma chronic respiratory
disease, allergy, and mental illness.
Asthma is associated with comorbidities
(meaning other illnesses) including mental
illness.
Oops…
According to a 2009 Canadian study called “The added
burden of comorbidity in patients with asthma”,
respondents with asthma were more likely to have
comorbidities including non-asthma chronic respiratory
disease, allergy, and mental illness.
There are no sex differences in asthma
prevalence between male and female prepubertal children.
True
Or…
False
There are no sex differences in asthma
prevalence between male and female prepubertal children.
Oops…
Male children tend to have higher prevalence of
asthma before puberty, and female children tend to
have higher prevalence of asthma after puberty
(Osman, 2003).
Osman, M. (2003). Therapeutic implications of sex differences in asthma and atopy. Archives of
disease in childhood, 88(7), 587-590.
There are no sex differences in asthma
prevalence between male and female prepubertal children.
Correct!
Male children tend to have higher prevalence of
asthma before puberty, and female children tend to
have higher prevalence of asthma after puberty
(Osman, 2003).
Osman, M. (2003). Therapeutic implications of sex differences in asthma and atopy. Archives of
disease in childhood, 88(7), 587-590.
I can’t stop taking my inhalers, even
if I feel better.
True
Or…
False
I can’t stop taking my inhalers, even if I feel
better.
Correct!
When patients take their puffers, they are inhaling medication
that reduces the inflammation in their airways.
Since inflamed airways make breathing difficult, patients who
stop taking their medication will notice more symptoms flaring
up as well as a greater number of asthma attacks.
This is because the air passages in their lungs will always be
predisposed to greater levels of inflammation compared to an
individual who does not have asthma.
I can’t stop taking my inhalers, even if I feel
better.
Oops…
When patients take their puffers, they are inhaling medication
that reduces the inflammation in their airways.
Since inflamed airways make breathing difficult, patients who
stop taking their medication will notice more symptoms flaring
up as well as a greater number of asthma attacks.
This is because the air passages in their lungs will always be
predisposed to greater levels of inflammation compared to an
individual who does not have asthma.
I cannot share my inhalers with my friends
because not all asthma medications are the
same.
True
Or…
False
I cannot share my inhalers with my friends
because not all asthma medications are the
same.
Correct!
There are many types of inhalers and each can have a different type of
medication. Some medications are rescue medications which a patient
needs to take right away if they are having trouble breathing due to
their asthma. However, there are other medications that are meant to
keep airways open and healthy over the long term, thereby preventing
future symptom flare-ups.
You and your friends may have similar shaped inhalers, but the
medication inside may be very different and help you both in different
ways. Therefore, it is recommended that you do not share your inhalers
with your friends.
I cannot share my inhalers with my friends
because not all asthma medications are the
same.
Oops…
There are many types of inhalers and each can have a different type of
medication. Some medications are rescue medications which a patient
needs to take right away if they are having trouble breathing due to
their asthma. However, there are other medications that are meant to
keep airways open and healthy over the long term, thereby preventing
future symptom flare-ups.
You and your friends may have similar shaped inhalers, but the
medication inside may be very different and help you both in different
ways. Therefore, it is recommended that you do not share your inhalers
with your friends.
I can take any inhaler that is the
same colour as the one I use.
True
Or…
False
I can take any inhaler that is the same colour
as the one I use.
Oops…
While some other inhalers may be the same colour as your
prescribed puffer, there is no one universal system of colour
coding inhaled asthma medication. For example, one common
rescue medication can come in a blue puffer with a blue cap or a
white puffer with a blue cap. Another version of the same
medication can also come in red or yellow puffers. To prevent
accidentally taking a medication that may be harmful for you,
only take the inhalers you have been prescribed.
I can take any inhaler that is the same colour
as the one I use.
Correct!
While some other inhalers may be the same colour as your
prescribed puffer, there is no one universal system of colour
coding inhaled asthma medication. For example, one common
rescue medication can come in a blue puffer with a blue cap or a
white puffer with a blue cap. Another version of the same
medication can also come in red or yellow puffers. To prevent
accidentally taking a medication that may be harmful for you,
only take the inhalers you have been prescribed.
There is no point in using my inhaler with a
spacer, such as an Aerochamber.
True
Or…
False
There is no point in using my inhaler with a
spacer, such as an Aerochamber.
Oops…
Using a spacer can help ensure that the medication is not
escaping into the air. As well, using a spacer helps prevent your
medication from accumulating in your mouth and throat, as well
as pushing more of it into your lungs where it can work most
effectively. Through all of these functions, spacers help reduce
the amount of corticosteroids entering a patient’s bloodstream,
instead localizing it to the target organ - their lungs.
There is no point in using my inhaler with a
spacer, such as an Aerochamber.
Correct!
Using a spacer can help ensure that the medication is not
escaping into the air. As well, using a spacer helps prevent your
medication from accumulating in your mouth and throat, as well
as pushing more of it into your lungs where it can work most
effectively. Through all of these functions, spacers help reduce
the amount of corticosteroids entering a patient’s bloodstream,
instead localizing it to the target organ - their lungs.
Asthma cannot be cured.
True
Or…
False
Asthma cannot be cured.
Correct!
Asthma is a treatable health condition. Despite great
advances in treatments over the years, unfortunately
we still don’t have a cure. However, with appropriate
diagnosis and good management, just about everyone
with asthma can lead normal, active lives.
Asthma cannot be cured.
Oops…
Asthma is a treatable health condition. Despite great
advances in treatments over the years, unfortunately
we still don’t have a cure. However, with appropriate
diagnosis and good management, just about everyone
with asthma can lead normal, active lives.
Children will usually outgrow
asthma.
True
Or…
False
Children will usually outgrow asthma.
Oops…
Asthma is a long term health condition in which the lungs over-react to
certain things. This overreaction never entirely disappears, but in some
people it becomes so minor that there aren’t any more symptoms.
Some children have asthma symptoms that improve or disappear during
adolescence. Those with more severe or persistent asthma tend to remain
much the same as they become adults. Even when symptoms disappear
completely, there is a chance they may return later on in life, particularly with
infections or exercise, or major changes such as pregnancy.
Some children with asthma like symptoms (e.g. wheezing or coughing) due to
another disease may be incorrectly thought to “outgrow their asthma” when
these symptoms subside.
Children will usually outgrow asthma.
Correct!
Asthma is a long term health condition in which the lungs over-react to
certain things. This overreaction never entirely disappears, but in some
people it becomes so minor that there aren’t any more symptoms.
Some children have asthma symptoms that improve or disappear during
adolescence. Those with more severe or persistent asthma tend to remain
much the same as they become adults. Even when symptoms disappear
completely, there is a chance they may return later on in life, particularly with
infections or exercise, or major changes such as pregnancy.
Some children with asthma like symptoms (e.g. wheezing or coughing) due to
another disease may be incorrectly thought to “outgrow their asthma” when
these symptoms subside.
Avoiding wheat and milk improves
asthma.
True
Or…
False
Avoiding wheat and milk improves asthma.
Oops…
Diet plays a minimal role in the management of
asthma, apart from ensuring it is healthy and balanced.
Avoiding wheat and milk can cause nutrition problems,
particularly in children. Studies have shown that milk
does not increase mucus production or worsen asthma.
Avoidance of any food group to affect your asthma is
not recommended, unless you have a proven
intolerance or allergy.
Avoiding wheat and milk improves asthma.
Correct!
Diet plays a minimal role in the management of
asthma, apart from ensuring it is healthy and balanced.
Avoiding wheat and milk can cause nutrition problems,
particularly in children. Studies have shown that milk
does not increase mucus production or worsen asthma.
Avoidance of any food group to affect your asthma is
not recommended, unless you have a proven
intolerance or allergy.
People with asthma can still
exercise.
True
Or…
False
People with asthma can still exercise.
Correct!
Exercise is as important for people with asthma as it is for
anyone else. With care or pretreatment, people with asthma can
exercise normally and often vigorously. People with asthma
generally do better with exercise in environments with relatively
high humidity, since exercise-induced airway narrowing
(bronchospasm) can be caused by drying of the airways. Slow
warm-up and cool-down periods with exercise also helps to
prevent exercise-induced bronchospasm (EIB).
People with asthma can still exercise.
Oops…
Exercise is as important for people with asthma as it is for
anyone else. With care or pretreatment, people with asthma can
exercise normally and often vigorously. People with asthma
generally do better with exercise in environments with relatively
high humidity, since exercise-induced airway narrowing
(bronchospasm) can be caused by drying of the airways. Slow
warm-up and cool-down periods with exercise also helps to
prevent exercise-induced bronchospasm (EIB).
Your immune system plays an important role
in allergic reactions and asthma.
True
Or…
False
Your immune system plays an important role
in allergic reactions and asthma.
Correct!
Asthma is often triggered by allergic reaction to
normally harmless substances (for example, from
cats!). This is mediated by your immune system that
recognize these allergens to start inflammation.
Your immune system plays an important role
in allergic reactions and asthma.
Oops…
Asthma is often triggered by allergic reaction to
normally harmless substances (for example, from
cats!). This is mediated by your immune system that
recognize these allergens to start inflammation.
What term is used to describe the
underlying problem of asthma,
involving narrowing of the patient's
airway?
What term is used to describe the
underlying problem of asthma, involving
narrowing of the patient's airway?
Brochoconstriction
“Broncho-”: relating to the bronchi (airway)
“Constriction”: … constriction
Patients with asthma have difficulties
breathing in, rather than breathing out.
True
Or…
False
Patients with asthma have difficulties
breathing in, rather than breathing out.
Correct!
Asthma is an obstructive lung disease, which means your airways are
blocked. Your lungs hyperinflate with air, causing greater difficulty
getting air in than pushing air out of your lungs (Lougheed et al.,
1993).
Another class of lung disease is restrictive, when your lungs are stiff
and unable to fill up with air fully. An example of this can be
pulmonary fibrosis.
Lougheed, M. D., Lam, M., Forkert, L. U. T. Z., Webb, K. A., & O'Donnell, D. E. (1993). Breathlessness during
acute bronchoconstriction in asthma: pathophysiologic mechanisms. American Review of Respiratory
Disease, 148(6_pt_1), 1452-1459.
Patients with asthma have difficulties
breathing in, rather than breathing out.
Oops…
Asthma is an obstructive lung disease, which means your airways are
blocked. Your lungs hyperinflate with air, causing greater difficulty
getting air in than pushing air out of your lungs (Lougheed et al.,
1993).
Another class of lung disease is restrictive, when your lungs are stiff
and unable to fill up with air fully. An example of this can be
pulmonary fibrosis.
Lougheed, M. D., Lam, M., Forkert, L. U. T. Z., Webb, K. A., & O'Donnell, D. E. (1993). Breathlessness during
acute bronchoconstriction in asthma: pathophysiologic mechanisms. American Review of Respiratory
Disease, 148(6_pt_1), 1452-1459.
Which of the following is not a correct
physiological factor that contributes to the
development of asthma?
A. Increased mucus production
B. Smooth muscle contraction
C. Reduced immune response
D. Higher number of smooth muscle cells
E. None of the above
Which of the following is not a correct
physiological factor that contributes to the
development of asthma?
Correct!
C) Reduced immune response
Increased mucus, smooth muscle number and contraction
all lead to constriction of airway, which is a characteristic of
asthma. However, in asthma, your immune system is hypersensitive (or hyperactive) to allergens to cause these
inflammatory signs.
Which of the following is not a correct
physiological factor that contributes to the
development of asthma?
Oops…
C) Reduced immune response
Increased mucus, smooth muscle number and contraction
all lead to constriction of airway, which is a characteristic of
asthma. However, in asthma, your immune system is hypersensitive (or hyperactive) to allergens to cause these
inflammatory signs.