Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

SAAS QAP417 Study > Asthma (Adult) Guideline > Flashcards

Asthma (Adult) Guideline Flashcards

1
Q

Why are MDIs just as good as nebulisers?

A

Low resistance and low flow devices which deliver smaller drug particles and achieve greater levels of total lung deposition and penetration into the distal airway tree

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the mainstay of asthma treatment?

A

SABAs and SAMAs along with early steroids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the 2 key concepts of asthma management?

A
  1. bronchodilation and 2. inflammation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What treatment is recommended for severe or life threatening asthma, or a poor response to repeated maximal dose bronchodilators?

A
  1. IV magnesium sulphate
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Why is a spacer useful?

A

It decreases the particle velocity and therefore increase deposition in the lung 2. reduces particle impaction on the oropharynx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Why are MDIs and spacers good for clinicians’ safety?

A

Reduction in nosocomial aerosol contamination

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the most effective treatment in severe and life threatening asthma?

A

SABAs and SAMAs via nebuliser are the most effective means of reversing airflow obstruction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Why is Salbutamol chosen as the SABA?

A

potency, duration of action 4-6 hrs, and B2 selectivity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the paramedic treatment for adult in severe asthma?

A
  1. high flow oxygen 2. ICP backup 3. SAL 15mg and atrovent 500mcg nebs, repeat PRN 4. Escalate to Life threat if no improvement or deteriorates 5. Transport and notify
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the paramedic treatment for adult in life treatening asthma?

A
  1. high flow oxygen 2. ICP backup 3. SAL continuous and atrovent every 20 mins via neb 4. Fluids 500mL IV 5. Adrenaline 10mcg/kg IM up to 0.5mg, if no response repeat 6. transport and notify
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the treatment for adult with asthma requiring IPPV?

A
  1. continuous nebs 2. ICP backup 3. IPPV with small tidal voumes and slow vent rates 4. fluid bolus 500mL IV 5. Adrenaline 10mcg/kg up to 0.5mg IM, repeat if no response 6. transport and notify
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

how will mild adult asthma patients speak?

A

In sentences

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

How will moderate adult asthma patients speak

A

In phrases

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How will severe asthma patients speak?

A

Words

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How will life-threatening asthma patients speak?

A

Unable to speak

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What will the LOC be in mild adult asthma patients?

A

Conscious

17
Q

What will the LOC be in moderate adult asthma patients?

A

Conscious

18
Q

What will the LOC be in severe adult asthma patients?

A

agitated/distressed

19
Q

What will the LOC be in life-threatening adult asthma patients?

A

drowsy or collapsed

20
Q

Will mild asthma patients have physical exhaustion?

A

No

21
Q

Will moderate asthma patients have physical exhaustion?

A

No

22
Q

Will severe asthma patients have physical exhaustion and how will it present?

A

visibly breathless, increased work of breathing

23
Q

Will life-threatening asthma patients have physical exhaustion and how will it present?

A

exhausted

24
Q

What will be the accessory muscle use across the spectrum of severity in adult asthma patients?

A
  1. mild = nil 2. mod = mild use 3. sev = mod use 4. lifet = severe or minimal due to tiring
25
Q

What will be the pulse rate across the spectrum of severity in the adult asthma patients?

A
  1. mild = normal 2. mod = tachy 3. sev = tachy 4. lifet = tachy or pre-arrest brady
26
Q

What will be the respiratory rate across the spectrum of severity in the adult asthma patients?

A
  1. mild = normal or raised 2. mod = tachypnoea 3. sev = may have tachypnoea 4. life = poor resp effort, apnoea
27
Q

What will be the wheeze be like across the spectrum of severity in the adult asthma patients?

A
  1. mild = variable volume, expiratory 2. mod = mod to loud, inp and exp 3. sev = may be low volume, as low air movement 4. life = may be low volume as low air movement
28
Q

How will be the pulse oximetry read across the spectrum of severity in the adult asthma patients?

A
  1. mild = normal, >95% RA 2. mod = normal, 92-95% RA 3. sev = 90-94% RA 4. life = <90% RA
29
Q

How will central cyanosis present across the spectrum of severity in the adult asthma patients?

A
  1. mild = nil 2. mod = nil 3. sev = maybe 3. life = yes
30
Q

How will the patient posture themselves across the spectrum of adult asthma?

A
  1. sev = upright, unable to lie supine, pursed lip breathing, hyper inflated thorax 2. life = upright, unable to lie supine, pursed lip breathing, hyper inflated thorax, or unconscious on ground
31
Q

How will the adult patient present with mild asthma?

A
  1. Speak in sentences 2. Conscious 3. No exhaustion or access muscle use 4. Pulse = normal 5. RR = normal or slightly raised 6. expiratory wheeze 7. Oxygen sats normal
32
Q

How will the adult patient present with moderate asthma?

A
  1. Speaks in phrases 2. Conscious 3. no exhaustion but slight accessory muscle use 4. tachycardic 5. tachypnoeic 6. mod to loud wheeze, both exp and inp 7. Oxygen sats normal 92-95% RA
33
Q

How will the adult patient present with severe asthma?

A
  1. Speaks in words 2. is agitated and distressed 3. breathless and increased work of breathing 4. mod acc muscle use 5. tachycardia 6. maybe tachypnoea 7. ?wheeze due to poor air movement 8. sats 90-94% RA 9 maybe centrally cyanosed 10.pursed lip breathing, hyperinflated thorax, can’t lie supine
34
Q

How will the adult patient present with life threatening asthma?

A
  1. unable to speak 2. drowsy and collapsed 3. exhausted 4. severe acc muscle use or minimal due to tiring 5. tachy or pre-arrest brady 6. poor resp effort, maybe apnoeic 7. hypoxic <90% RA 8. centrally cyanosed 9. pursed lip breathing, hyperinflated thorax, can’t lie supine
35
Q

What is the treatment for mild adult asthma?

A

SAAS QAP417 Study (7 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions