Chronic respiratory

Question 1

asthma

Answer 1

Chronic inflammatory airway disorder

Airway, obstruction, bronchial, irritability, edema of mucous membrane

Congestion, in spasms of smooth muscles of bronchioles and bronchi

Question 2

Patho of asthma

Answer 2

Hypersensitivity type one

IGE mediated – mast cells, release, histamine in leukotrienes to diffuse restricted airway

Accumulation of tenacious secretions

Question 3

Asthma, triggers

Answer 3

stress
Pollution
Pets
Exercise
Pollen
Dust
Smoke
Cold air

Question 4

Who is more likely to get asthma?

Answer 4

Males
African Americans

Question 5

excessive ___ is just as much of a symptom of asthma as expiratory wheezing

Answer 5

Coughing

Question 6

pulmonary function test

Answer 6

Forced vital capacity
Forced expiratory volume
Forced expiratory flow
Peak expiratory flow

Question 7

optimal treatment for asthma

Answer 7

Environmental trigger control
Wash linens with hot water twice a week
Humidity of home 35 to 50%
Avoid cigarette smoke

Question 8

what is hypo sensitization?

Answer 8

Allergy shots

Question 9

drug therapy for asthma

Answer 9

Preventers – Inhaled corticosteroids two times a day

Relievers/rescue – short acting, beta-2 adrenergic agonist

Question 10

what order should you take the drugs?

Answer 10

Take the reliever before the preventer

Question 11

what is used when a child cannot properly breathe simply with the inhaler

Answer 11

A spacer or mask is used

Question 12

teaching how to use an inhaler

Answer 12

Shake
Remove cap
Breathe out
Push down while breathing in
Hold 10 seconds
Let air out
Wait one minute between passes

Question 13

Green zone

Answer 13

Does not need medication
80 to 100% of peak flow

Question 14

yellow zone

Answer 14

Needs to take rescue, drug and reassess

50 to 79% of peak flow

Question 15

Redzone

Answer 15

needs to go to the ER and take rescue drug

Less than 50% of peak flow

Question 16

Cystic fibrosis

Answer 16

disruption of normal function of exocrine glands related to sodium/chloride transport via the CFTR

Question 17

What does the disruption of the normal function of exocrine glands result in?

Answer 17

thick exocrine secretions
Impaired fluid excretion

Question 18

bronchi affects

Answer 18

Obstruction
Chronic pneumonia
General obstructive emphysema

Question 19

intestinal effects

Answer 19

meconium ileus
Obstruction

steatorrhea
Azotorrhea
Distended abdomen

Question 20

pancreas effects

Answer 20

Malabsorption syndrome
Diabetes
achylia

Question 21

bile duct effects

Answer 21

Cirrhosis
Portal, hypertension

ascites
G.I. bleeding
Jaundice

Question 22

reproductive effects

Answer 22

males– 90% sterile
Females – 50% sterile
Delayed puberty

Question 23

fluid losses

Answer 23

Electrolyte losses
Salty sweat
Dehydration
Hyponatremia
Heat stroke

Question 24

dx cystic fibrosis

Answer 24

prenatal DNA analysis
Sweat chloride test
stool fecal fat

Question 25

what confirm the diagnosis with a sweat chloride test?

Answer 25

>60 mEq

Question 26

what is the only form of treatment to add years onto the life and it’s not a cure?

Answer 26

Lung transplant

Question 27

nutritional needs for cystic fibrosis patients

Answer 27

High calorie and proteins Unrestricted fat – whole fat Pancreatic enzymes Fat, soluble, vitamins – a, D, E, K

Question 28

isolation For CF patients

Answer 28

must wear a mask outside the room Cannot be near other sick kids

Question 29

what type of IV access will CF patients have

Answer 29

PICC line Port-A-Cath

Question 30

What should also be monitored and older children?

Answer 30

Blood glucose

Question 31

When should the chest percussion vest be used?

Answer 31

before meals At least Two times a day

Question 32

what assessment finding can evaluate the effectiveness of pancreatic enzymes?

Answer 32

Stool appearance

Question 33

Who is CF most common in

Answer 33

Caucasians

Question 34

what does it mean to be an autosomal recessive disorder?

Answer 34

Every child has a 25% chance of getting the disorder from the parents who have recessive genes