Chapter 32 (3) Flashcards

1
Q

Prior to developing a plan for the treatment of asthma, the patient’s asthma should be classified
according to the NHLBI Expert Panel 3 guidelines. In adults mild-persistent asthma is classified as asthma symptoms that occur:

A

More than twice a week and less than once a day

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2
Q

In children age 5 to 11 years mild-persistent asthma is diagnosed when asthma symptoms occur:

A

At nighttime three to four times a month

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3
Q

One goal of asthma therapy outlined by the NHLBI Expert Panel 3 guidelines is:

A

Require infrequent use of beta 2 agonists (albuterol) for relief of symptoms

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4
Q

A stepwise approach to the pharmacologic management of asthma:

A

Begins with determining the severity of asthma and assessing asthma control

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5
Q

Treatment for mild intermittent asthma is:

A

Short-acting beta-2-agonists (albuterol) as needed

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6
Q

The first-line therapy for mild-persistent asthma is:

A

Low-dose inhaled corticosteroids

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7
Q

Monitoring a patient with persistent asthma includes:

A

Evaluating the patient every 1 to 6 months to determine if the patient needs to step up or down in their therapy

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8
Q

Asthma exacerbations at home are managed by the patient by:

A

Increasing frequency of beta-2-agonists and contacting their provider

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9
Q

Patients who are at risk of a fatal asthma attack include patients:

A

With a history of requiring intubation or ICU admission for asthma

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10
Q

Pregnant patients with asthma may safely use _____ throughout their pregnancy.

A

Inhaled corticosteroids (budesonide)

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11
Q

One goal of asthma management in children is:

A

Participation in school and sports activities

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12
Q

Medications used in the management of patients with chronic obstructive pulmonary disease (COPD) include:

A

All of the above

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13
Q

Patients with a COPD exacerbation may require:

A

Systemic corticosteroid burst

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14
Q

Patients with COPD require monitoring of:

A

Beta-2-agonist use

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15
Q

Education of patients with COPD who use inhaled corticosteroids includes:

A

Rinsing their mouth after use

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16
Q

Education for patients who use an inhaled beta-agonist and an inhaled corticosteroid includes

A

Use the inhaled beta-agonist first, followed by the inhaled corticosteroid