Master Persistent Moderate Asthma with Picmonic for Medicine

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Persistent Moderate Asthma

Purse with Moderate-mustard and Asthma-inhaler
Picmonic
Asthma is a chronic airway disease involving bronchial inflammation and hyperresponsiveness that leads to airway obstruction and the symptoms of difficulty breathing, cough and wheezing. Common triggers include cigarette smoke, dust, exercise, and exposure to cold air. Patients with moderate persistent asthma have symptoms requiring a rescue inhaler daily, with nocturnal awakenings at least once a week but not nightly. Pulmonary function tests show a decrease to 60-80% of predicted normal. Pharmacologic management in step 3 of the asthma management protocol calls for addition of a long-acting beta agonist to the step 2 medications, or increase to medium-dose inhaled glucocorticoids.
4 KEY FACTS
DIAGNOSIS
Symptoms (Bronchoconstriction) and Rescue Inhaler Use Daily
Broccoli-constrictor and Inhaler with Girl in Daily-sundress

Patients with moderate persistent asthma have symptoms of cough, difficulty breathing and wheezing every day. Use of a rescue inhaler (short-acting beta-agonist) is required daily to control symptoms.

Nighttime Awakening > 1 / Week
Knight Awakened with > (1) Wand and Weekly-newspaper

Symptoms awake the patient from sleep at least once per week, but do not occur every night.

60-80% Predicted FEV1
(60) Minutes-reporter with (80) Eating lungs Spirometer

Pulmonary function tests begin to show a decrease in moderate persistent disease. Forced expiratory volume in one second (FEV1) is between 60% and 80% of predicted normal.

FEV1/FVC Decreased 5%
FEV1/FVC with Down-arrow (5) Hand

The FEV1:FVC (forced vital capacity) ratio is reduced by up to 5%.

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