Asthma Clasification and treatment Flashcards

1
Q

A reduced FEV1/FVC ratio may indicate what

A

airway obstruction

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2
Q

What two tests help to diagnose someone with asthma

A

FEV1/FVC %

Peak expiratory flow

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3
Q

The asthma is considered reversible if

A

there is a 12% and 200ml increase in FEV1 or FVC after using a rapid-acting beta 2 agonist

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4
Q

What class of medications should not be given during an acute exacerbation of asthma

A

CNS depressant s

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5
Q

What are some common nursing diagnoses

A
ineffective ariway clearance 
impaired gas exchange 
anxiety 
activity intol
risk for contamination
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6
Q

Would impaired gas exchange have adventitious breath sounds

A

no not if its the primary diagnosis but it could the caused by something causing adventitious breath sounds

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7
Q

What are some signs of ineffective airway clearance

A

adventitious breath sounds
trouble speaking
weak or absent cough
other normal resp probs

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8
Q

What are some interventions for ineffective air clearance

A

mobilizing secretions

maintaining patent airways

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9
Q

What are some signs of impaired gas exchange

A
CNS changes
vision changes
HA
tachycardia 
diaphoresis
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10
Q

What are some interventions for impaired gas

A

Make sure inhaler is being used properly

admin oxy if needed

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11
Q

When helping someone with anxiety what are some preffered outcomes

A

acknowlodging the axiety

knowledge of coping strats

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12
Q

When is a good time to suggest using their meds

A

before strenuous exercise

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13
Q

What are considered mild exacerbations

A

PEF 80% or more of personal best after use of bronchodialator
nocturnal awakenings
increased use of rapid acting

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14
Q

What is considered moderate exacerbations

A

60-80% of personal best aft bronchodi

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15
Q

What is considered severe exacerbations

A

less than 60%

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16
Q

What is considered imminent resp arrest

A
drowsiness
confusion 
bradycardia 
paradoxical thoracoabdominal movements 
no wheeze 
absence of pulsus paradoxus
17
Q

What is pulsus paradoxus

A

a drop in blood pressure during inspiration by greater than 10 mm Hg