chronic respiratory

Question 1

asthma PEFR

Answer 1

green - good!
yellow - bronchodilator, sit out of PE for a while
red - albuterol, ER

Question 2

asthma tm/nc

Answer 2

stay active
manage env - triggers, humidity, AC
allergy shots, reduce underlying inflam, cpt, educate

Question 3

asthma - drugs

Answer 3

prevent/control 2x/day: corticosteroid, leukotrieneI
relievers: bronchodilators, short acting beta 2, mgso4

Question 4

asthma nc

Answer 4

assessment, hx, med admin, action plan, env, guide parents, exercise, school (missed?)

Question 5

asthma exacerbation nc

Answer 5

high fowlers, assess, oxygen and monitor O2, HR, BP; teach and help with breathing, control panic - calm, may need IV, admin rescue drugs, transition to regular meds

Question 6

CF tm

Answer 6

aggressive airway clearance (percussion, therapy, postural drainage, breathing exercises, physical exercise), oxygen therapy, aerosols, nebs
drugs: abx, ccl activators, Na blockers, mucolytics, bronchodilators
pancreatic enzymes (sprinkles), fat soluble vits, stool softeners, NaCl tablets (hot), oral iron, monitor BS
anti inflam and proteaseI, immunizations, lung transplant (not a cure)

Question 7

CF nc

Answer 7

resp assessment, vigilant pt and treatments
assess IV site and judicious abx admin
enzyme replacement
exercise and fun
isolation - mask outside room, no comingle
high cal foods, shakes, nutrition eval
fam impact
hospital v home care

Question 8

asthma cm

Answer 8

chronic inflam, airway obstruction, bronchial irritable, edema of mucous membranes, congestions, spasms of smooth muscles of bronchi

Question 9

asthma triggers

Answer 9

smoke, dust, strong odors, pollution, anger, stress, pets, exercise, pollen , bugs, chm fumes, cold air, fungi

Question 10

asthma cm

Answer 10

dyspnea, exp wheeze, cough, diaphoresis, paroxysmal, hacking, non productive cough - rattling and productive, prolonged exp, anx, restless, setting position, coarse ronchi, nasal flare, cyanosis, retractions

Question 11

exercise induced bronchospasm

Answer 11

during or after vigorous activity
peak 5 - 10 min
s: cough, sob, chest pain or tightness, sneeze, endurance problems
dont exclude from sports - pre medicate

Question 12

cf etiology

Answer 12

normal function of Na and Cl transport disrupted - impaired fluid secretion and abnormally thick secretions

Question 13

cf - resp

Answer 13

chronic pna, obstructive emphysema
s/s: wheezy cough, increasing dyspnea, thick rattling extremely productive cough, cyanosis, pneumonia, polyps in nose, clubbed digits, chronic sinusitis

Question 14

cf - gi

Answer 14

intestinal obstructions
degen of pancreas - malabs - dm
s/s: appetite change, steatorrhea, azotorrhea, weight loss, tissue wasting, distended abd, sallow skin, anemia

Question 15

cf - other

Answer 15

hepatic - bile ducts
s/s: ascites, gi bleed, jaundice
reproductive: delayed puberty, e loss, salty sweat, dehyd, hypoNa, heat stroke