Chronic Lung Diseases

Question 1

Chronic lung condition that involves irreversible tissue damage and air trapping in the lungs

Answer 1

COPD

Question 2

Characterized by loss of lung elasticity and hyperinflation of the lung

Answer 2

Emphysema

Question 3

Inflammation of the airways caused by chronic exposure to irritants, esp cig smoke

Answer 3

Chronic Bronchitis

Question 4

Typical acid-base status of a pt with COPD

Answer 4

Partially compensated respiratory acidosis (air gets trapped so they can’t blow off extra CO2)

Question 5

Number one cause of COPD

Answer 5

smoking

Question 6

Complications of COPD

Answer 6

hypoxemia, acidosis, respiratory infections, cor pulmonale, dysrhythmias

Question 7

Muscle spasm, edema, and thick secretions in the airway

Answer 7

asthma

Question 8

Assessment findings of acute asthma exacerbation

Answer 8

audible wheeze, increased RR, accessory muscle use, cyanosis, hypoxemia

Question 9

Peek flow zones

Answer 9

Green: 80-100% of personal best, no intervention

Yellow: 50-80% of personal best, use rescue drug and reassess

Red: < 50% of personal best, use rescue drugs and call 911

Question 10

Order of drug therapy for acute asthma exacerbation

Answer 10

SABA (albuterol), inhaled steroid (Flovent), LABA (advair disk), leukotriene modifiers (Singulair), prednisone

O2, neb tx, call 911

Start an IV and if nothing else works you need to intubate

Question 11

Major complication of pulmonary artery hypertension

Answer 11

cor pulmonale

Question 12

Meds for pulmonary artery hypertension

Answer 12

warfarin (stop clots), CCBs (vasodilation), Prostacyclin agents (dilate pulmonary arteries, pt is dependent on this), digoxin, diuretics, O2

Question 13

Sarcoidosis

Answer 13

autoimmune response where T cells damage lung tissue

causes granulomas to form in different areas of the body

Primary tx: corticosteroids