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NUR 201-Exam 3 > Asthma/RSV > Flashcards

Asthma/RSV Flashcards

1
Q

In asthma and RSV what kind of problem is this bc O2 can’t get in from blocked airway?

A

Ventilation

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2
Q

Children, genetic components, exposure to RSV early in life, air pollution, smoker @ home, obesity, premature birth, and not being breastfed are all what?

A

Risk factors of asthma

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3
Q

Wet cough, fever, copious amounts of green mucus, crackles/wheezes, periods of apnea and less play are all s/s of what?

A

RSV/Bronchiolitis

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4
Q

Working @ breathing, tachypnea, nasal flaring, retractions, wheezing, anxiety, inability to complete a full sentence, tachycardia, and being pale are all what?

A

S/S of ventilation problem

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5
Q

Dry cough, nocturnal awakenings, can’t keep up w/ everyday activities, chest tightness, and less play are s/s of what?

A

Asthma

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6
Q

Meds for asthma?

A

Anti-inflammatory, beta-agonists (bronchodilators), corticosteroids, anti-allergy, Mg Sulfate, and PPI’s

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7
Q

Meds for RSV/bronchiolitis?

A

Adrenergic stimulants (bronchodilators), antipyretics, and anti-inflammatory

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8
Q

Prednisone, Flovent are what type of meds?

A

Anti-inflammatory for asthma

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9
Q

Albuterol is what type of med?

A

Beta-agonist (Bronchodilator) “rescue inhaler”

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10
Q

Zyrtec is what type of med?

A

Anti-allergy for asthma

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11
Q

Prilosec is what type of med?

A

Proton pump inhibitor (PPI) for overweight asthmatics

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12
Q

Anti-inflammatory’s do what in asthmatics?

A

Prevent an attack

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13
Q

Anti-allergies do what in asthmatics?

A

Prevent triggers

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14
Q

Mg Sulfate for asthmatics does what?

A

Smooth muscle relaxant to dilate bronchioles

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15
Q

Beta-Agonists do what in asthmatics?

A

Dilates/relaxes smooth muscle in bronchiol

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16
Q

PPI’s do what in asthmatics?

A

Prevent refluxes if overweight

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17
Q

Tylenol is what type of med?

A

Antipyretic for RSV

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18
Q

Inhaled corticosteroids have what kind of side effects vs. systemic steroids?

A

Decreased

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19
Q

Long term dosing of inhaled corticosteroids can result in what?

A

Adrenal suppression, slowing growth velocity

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20
Q

Short-acting Beta Agonists (SABA) have a what type of onset and duration?

A

Rapid; short

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21
Q

SABA also stimulates what?

A

Mucociliary clearance

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22
Q

What are some side effects of SABA’s?

A

Tachycardia and jitterness

23
Q

Everyone in asthmatic child’s care should have what?

A

Asthma action plan

24
Q

Action plan: When I’m in ____ zone, I feel _____. I still have to use my _____ inhaler. I also have to watch out for _____.

A

Green; healthy; controller; triggers

25
Q

Action plan: When I’m in _____ zone, I’m starting to have a _____. I might _____ or have other symptoms. Then I use my _____ inhaler and feel better.

A

Yellow; flare-up; wheeze; rescue

26
Q

Action plan: When I’m in my _____ zone breathing is very _____. I need to get ____ immediately.

A

Red; hard; help-ER/911

27
Q

In green zone if asthma occurs w/ exercise what should be the med regimen?

A

Albuterol 2 puffs 10-15min prior to exercise

28
Q

In yellow zone what’s the med regimen for wheezing, chest tightness, or persistent cough?

A

Albuterol 2 puffs q4h PRN; albuterol nebulizer solution 1 vial q4h PRN

29
Q

If a child is at a younger age and on an inhaler what is needed that is not needed in older children/adolescence?

A

Spacer

30
Q

In red zone what’s the med regimen?

A

Albuterol 4 puffs immediately, albuterol nebulizer solution 1 unit immediately followed by another unit after 1st unit is done

31
Q

What’s a persistent inflammation from a hypersensitivity immune response that’s chronic but has acute episodes from a narrowed airway/bronchoconstriction?

A

Asthma

32
Q

What is a virus that effects the squamous epithelium that clogs airways causing mucousal secretions and partial airway obstruction?

A

RSV/Bonchiolitis

33
Q

Allergens: pollens, weeds, molds, dust, animal dander, resp. tract infection, exercise, inhaled irritants, and emotional upsets are all what?

A

Types of triggers for asthma

34
Q

An asthma attack can develop how many hours after exposure?

A

4-12hrs

35
Q

Blood flow being reduced, which affects gas exchange can lead to what in asthma?

A

Hypoxemia

36
Q

An allergic asthma is an alteration in which hypersensitivity response?

A

Type I

37
Q

Children under what age use the diaphragm to breath bc intercostal muscles are immature?

A

6y/o

38
Q

Peak expiratory flow reading (PEFR), scratch/patch/IgE testing, CBC, ABG’s, O2 sat., CXR, and pulmonary function are all what?

A

Diagnostic tests for asthma

39
Q

-terol/-enol meds are?

A

Adrenergic stimulants/Beta agonists-Bronchodilators

40
Q

-phylline meds are?

A

Methylxanthines

41
Q

-ate meds are?

A

Corticosteroids

42
Q

What are some important interventions when treating a pt. w/ asthma/RSV?

A

Elevate HOB, take pulse ox/vitals, auscultate lungs, admin O2, admin albuterol therapy (if in distress) or other meds, relieve anxiety-low stimuli room, *suction if RSV

43
Q

RSV is a highly contagious resp. infection, what kind of precautions should be taken?

A

Isolation-droplet/airborne

44
Q

RSV is common in?

A

Children less than 2y/o

45
Q

When does RSV occur?

A

3-4 days after exposure to virus

46
Q

What is a physical symptom in both asthma/RSV that is a sign of serious distress?

A

Retractions

47
Q

Immunofuorescent, viral cell culture, CXR, ABG’s, patchy atelectasis are all what?

A

Diagnostic tests for RSV

48
Q

What med blocks the parasympathetic input to bronchial smooth muscle?

A

Anticholinergic

49
Q

What is important to the diet of a pt. w/ RSV?

A

Increase fluids to thin out secretions & small frequent meals to prevent fatigue

50
Q

What level of asthma attack is this: SOB, mild exertion, discomfort when in supine, talks in phrases and has a moderate increase in respirations?

A

Mild

51
Q

What level of asthma attack is this: SOB w/ exertion, ability to lie supine, can talk in full sentences and has a slight increase in respirations?

A

Minimal

52
Q

What level of asthma attack is this: SOB @ rest, inability to lie supine, talks in single words and pt. is tachypneic?

A

Moderate

53
Q

What level of asthma attack is this: SOB @ rest, inability to lie supine, fatigue, can’t talk and is bradypneic?

A

Severe

54
Q

If a pt has constant symptoms w/ limitations to physical activity how bad is their asthma?

A

Severe

NUR 201-Exam 3 (8 decks)

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