How COVID-19 Affects Patients with Asthma
This Guideline Knowledge Check reviews treatment guidelines for COVID-19 in patients with asthma. A 2020 Pulmonology Advisor discusses a recent study on the effects of COVID-19 on asthma. How do the study’s data alter the care of patients with asthma who require admission for COVID-19?
Today’s Guideline Knowledge Check question comes from the desk of Med-Challenger Emergency Medicine Editor-in-Chief, Andrea Eberly, MD, FAAEM.
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Try this COVID-19 asthma patient case question and find out if you’re following the most current guideline.
A 54 year-old female presents to the emergency department with worsening fever, cough, and shortness of breath.
She states that her symptoms began 6 days ago and that she received a positive SARS-CoV-2 test result 2 days ago.
She has never been a smoker, but she has a history of asthma and regularly uses a long-acting beta-agonist inhaler and inhaled corticosteroids.
She has no other comorbidities.
According to recent findings, how will the presence of asthma most likely impact her COVID-19 course?
As compared to non-asthmatics, asthmatics present with more hypoxemia and severe radiological findings
Asthmatics and non-asthmatics with SARS-CoV-2 pneumonia are equally likely to require admission
Similar to other respiratory viruses, SARS-CoV-2 is associated with acute asthma exacerbations in patients with a history of asthma
Among admitted patients with SARS-CoV-2 pneumonia, asthma, obesity, diabetes, and cardiovascular disease are the leading comorbidities associated with a poor outcome
See the Answer:
About Guideline Knowledge Checks:
With each update of national clinical practice guidelines, some recommendations change and many remain unchanged. Med-Challenger Guideline Knowledge Checks help you know both what is new and what has stayed the same in the most recent guidelines pertinent to each medical specialty.
About the Author:
Andrea Eberly, MD, FAAEM graduated from the David Geffen Medical School of Los Angeles (UCLA) and completed her residency in Emergency Medicine at the University Medical Center, Tucson, Arizona. After working as an attending physician in Tucson, she followed a recruiting call to the island of Guam, where she served in various roles, including as the director of the emergency department, the EMS Medical Director of Guam, and the Director of the 911 Call System. She has maintained her emergency medicine board certification through three cycles of American Board of Emergency Medicine Board Exams (last in 2014), all three with the help of Med-Challenger.
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