Chapter 2.2 (Part 1) Flashcards

Asthma

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1
Q

Lower Respiratory Disorders

A
  1. Pneumonia
  2. Asthma
  3. Tuberculosis
  4. Bronchiectasis
  5. Lung Abscess
  6. Cystic Fibrosis
  7. Atelectasis
  8. Empyema
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2
Q

is a chronic inflammatory disorder of the airways

A

Asthma

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3
Q

Clinical Manifestations of Asthma

A
  1. Recurrent episodes of wheezing
  2. Breathlessness
  3. Coughing
  4. Chest tightness
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4
Q

a severe persistent asthma that does not respond to conventional therapy. Last longer than 24 hrs.

A

Status Asthmaticus

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5
Q

Classifications of Asthma

A

Intermittent
Mild
Moderate
Severe

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6
Q
  • occur 2 days or less
  • normal incentive spirometry result
A

Intermittent

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7
Q
  • occur 2 days or more
  • normal incentive spirometry result
  • Affects ADLs, use inhaler twice a week
A

Mild

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8
Q
  • awaken up with cough, takes more than a week, ADL is affected, lung function test is abnormal
A

Moderate

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9
Q
  • occur throughout each day
  • ADL is limited
  • Awaken up every night
A

Severe

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10
Q

Classifications of Asthma

A

Extrinsic
Intrinsic
Mixed
Aspirin Induced
Triad
Exercise Induced
Occupational

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11
Q

Extrinsic Related Factors Asthma

A

Animal dander
Food additives
dust and molds
feather pillows
exposure to noxious fumes
pollens

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12
Q

Intrinsic factors Asthma

A

Anxiety
coughing
laughing
emotional stress
genetic factors

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13
Q

Assessment for Asthma

A
  1. A complete history
  2. physical examination
  3. Measurement of lung function
  4. Measurement of allergic status to identify risk factors
    Inspection
    Palpation
    Percussion
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14
Q

Diagnostic Findings for Asthma

A

Blood test
ABG and Pulse Oximetry
Pulmonary Function
Chest Xray

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15
Q

Medical Management for Asthma

A
  1. Corticosteroids
  2. LABA
  3. Leukotriene Modifiers or Antileukotrienes
  4. Anticholinergics
  5. Methylxanthines
  6. Oxygen Therapy
  7. Antibiotic Therapy
  8. Intravenous fluid for Hydration
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16
Q

Nursing Management for Asthma

A
  1. instruct patient to avoid allergens and environmental factors
  2. High fowlers position’
  3. Administer oxygen as ordered
  4. Encourage purse lip and diaphragmatic breathing
  5. Assist for intubation
17
Q

Prevention for asthma

A
  1. Undergo tests to identify substances that triggers the symptoms
  2. Avoid causative agents
  3. Knowledge about disease
18
Q

Complications of asthma

A
  1. Status asthmaticus
  2. Respiratory failure
  3. Atelectasis
  4. Pneumonia
  5. Dehydration