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Nursing of Adults I > Chapter 31: Obstructive Pulmonary Disorders > Flashcards

Chapter 31: Obstructive Pulmonary Disorders Flashcards

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1
Q

type of asthma severity: no interference with ADLs

A

intermittent

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2
Q

type of asthma severity: continuous symptoms

A

severe persistent

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3
Q

classification of COPD: FEV1 <30% predicted

A

GOLD 4 (very severe)

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4
Q

type of asthma severity: symptoms >2 days/week, not daily

A

mild persistent

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5
Q

type of asthma severity: FEV1 >80%

A

intermittent, mild persistent

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6
Q

classification of COPD: FEV1 30-50% predicted

A

GOLD 3 (severe)

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7
Q

type of asthma severity: may affect ADLs

A

mild persistent

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8
Q

peak expiratory flow rate (PEFR) in the red zone

A

<50% of personal best

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9
Q

status asthmaticus: ________________ monitoring is critical

A

hemodynamic

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10
Q

management of COPD: stop ________

A

smoking

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11
Q

management of COPD: ______ therapies

A

drug

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12
Q

type of asthma severity: FEV1 and FVC reduced by 5%

A

moderate persistent, severe persistent

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13
Q

asthma treatment involves eliminating ____________, ________ therapy, _________________ plan, _________________, _____________ test, __________________ position, and ________________ ventilation (as required).

A

triggers, drug, Asthma Action, desensitization, asthma control, semi to high Fowler’s, mechanical

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14
Q

type of asthma severity: some limitations to ADLs

A

moderate persistent

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15
Q

asthma can predispose patients to these three complications

A

pneumonia
worse episodes of influenza
tension pneumothorax

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16
Q

defining feature of COPD

A

airflow limitation not fully reversible during forced exhalation

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17
Q

type of asthma severity: 3-4 nighttime awakenings per month

A

mild persistent

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18
Q

type of asthma severity: >1 nighttime awakenings per week (not nightly)

A

moderate persistent

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19
Q

type of asthma severity: brief flare ups that vary in intensity

A

intermittent

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20
Q

type of asthma severity: more frequent flareups

A

moderate persistent

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21
Q

patients with status asthmaticus need this immediate treatment

A

mechanical ventilation

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22
Q

management of COPD: long-term _____ if indicated

A

O2

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23
Q

type of asthma severity: FEV1 60-80%

A

moderate persistent

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24
Q

COPD: goal of oxygen therapy is to keep SaO2 >___%

A

90

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25
Q

type of asthma severity: >2 nighttime awakenings per month

A

intermittent

26
Q

diagnostic assessment of asthma includes these four things

A

spirometry
peak expiratory flow rate (PEFR)
chest X-ray
pulse oximetry

27
Q

COPD: surgery that involves placing multiple 1-way valves by bronchoscopy in the airways leading to the diseased parts of the lung

A

bronchoscopic lung volume reduction (BLVR)

28
Q

type of asthma severity: normal FEV1 between attacks

A

intermittent

29
Q

management of COPD: nutrition _____________

A

supplements

30
Q

to decrease dyspnea and conserve energy, patients with COPD should rest for _____________ and use a __________________ before eating

A

30 minutes, bronchodilator

31
Q

five nonmodifiable risk factors for COPD

A

aging
genetics
gender (men)
alpha-1 antitrypsin deficiency (AATD)
history of asthma

32
Q

type of asthma severity: FEV1 <60%

A

severe persistent

33
Q

peak expiratory flow rate (PEFR) in the yellow zone

A

50-79% of personal best

34
Q

status asthmaticus: continuous ______________ infusions and ____________ can help decrease work of breathing and promote synchrony with the ventilator

A

analgesic, sedation

35
Q

management of COPD: progressive _________ plan

A

exercise

36
Q

COPD: goal of this surgery is to reduce the size of the lungs by removing some of diseased lung tissue so that remaining healthy lung tissue can perform better

A

lung volume reduction surgery (LVRS)

37
Q

COPD patients should avoid exercise and treatments for at least _____________ before and after eating

A

1 hour

38
Q

management of COPD: _________________ techniques, ____________ exercises and ___________

A

airway clearance, breathing, retraining

39
Q

this drug has a vasodilator effect that may be given to patients with very low FEV1 or peak flow or to those who do not respond to initial treatment

A

IV magnesium sulfate

40
Q

type of asthma severity: often restricts ADLs

A

severe persistent

41
Q

two most severe complications of asthma

A

acute respiratory failure
status asthmaticus

42
Q

COPD: meals should be _________ and ____________, containing ____________, _____________, and ___________.

A

small, frequent (5-6 meals/day), fresh fruits, whole grains, vegetables

43
Q

two breathing techniques that can be used with COPD

A

pursed lip breathing
diaphragmatic breathing

44
Q

management of COPD: hydration of ______ per day if not contraindicated

A

2-3 L

45
Q

type of asthma severity: daily symptoms

A

moderate persistent

46
Q

classification of COPD: FEV1 ≥80% predicted

A

GOLD 1 (mild)

47
Q

type of asthma severity: symptoms >2 days/week

A

intermittent

48
Q

management of COPD: _______________ rehabilitation program

A

pulmonary

49
Q

type of asthma severity: nighttime awakenings every night (7/week)

A

severe persistent

50
Q

type of asthma severity: daily flareups

A

severe persistent

51
Q

type of asthma severity: FEV1 and FVC are normal

A

intermittent, mild persistent

52
Q

main characteristic of COPD

A

inability to expire air

53
Q

COPD: surgery that removes one or more very large bullae (helps decrease work of breathing)

A

bullectomy

54
Q

asthma: compromised lung function leads to chronic _________________, which leads to less severe complications such as fatigue, headache, and lack of activity

A

debilitation

55
Q

most extreme form of an acute asthma attack characterized by hypoxia, hypercapnia, and acute respiratory failure

A

status asthmaticus

56
Q

classification of COPD: FEV1 50-80% predicted

A

GOLD 2 (moderate)

57
Q

four modifiable risk factors for COPD

A

smoking
occupational chemicals and dusts
air pollution
frequent infections

58
Q

COPD: breathing technique that prolongs exhalation and prevents bronchiolar collapse and airdropping; gives patient more control of breathing, especially during exercise

A

pursed lip breathing

59
Q

management of COPD: protect against infections via _______________

A

immunizations

60
Q

type of asthma severity: noticeable flareups

A

mild persistent

61
Q

peak expiratory flow rate (PEFR) in the green zone

A

> 80% of personal best

62
Q

in status asthmaticus, the patient is (responsive, unresponsive) to treatment with bronchodilators and corticosteroids

A

unresponsive

Nursing of Adults I (21 decks)

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