Exam 1:Asthma Flashcards
S/S of asthma?
dyspnea, wheezing, cough, tachycardia, restlessness, hypoxemia,
Inappropriate behavior due to PaO2 and CO2 drop is due to?
asthma: confused, lethargic, cambatant
Assessment for Asthma?
Health history: allergens, environmental, co-morbidities
Diagnostics for asthma?
Sputum, Blood Specimen, ABG’s, and Pulse Ox
Example of corticosteroids?
Budesonide (Pulmicort)
Flunisolide (AeroBid)
Fluticasone propionate (Flovent)
prednisone
Example of beta2-adrenergic drugs?
Albuterol (sustained release)
Salmeterol (Serevent)
Which types of drugs are the long-acting meds to treat asthma?
- corticosteroids
- beta2-adrenergic agents
- mast cell stabilizer
- xanthine (-phylline)
- leuokotrienes (-kast)
- combo drugs
what are examples of mast cell stablizers?
cromolyn sodium (intal)
corticosteroids: Why would they be used with respiratory disorders?
Suppresses inflamm. Response. Inhaled or systemic form. Reduces bronchial hyperresponsiveness, decrease mucous production.
which long acting drugs are generally used for pediatrics patients?
-Mast cell stabilizer
which long acting anti-asthma drug has a narrow margin for safety?
-Xanthine derivatives (-phylline endings)
What are the some quick-acting drugs to treat asthma?
- Anti-cholinergic
- short acting (beta2-adrenergic drugs)
Some examples of anti-cholinergics
Atrovent
What are some precautionary measures with patients taking Albuterol (Proventil, Ventolin)?
Use with caution in pts with cardiac disorders because they may cause increased BP and heart rate, CNS excitation, and higher risk for dysrhythmias.
acute asthma care vs. chronic asthma care?
Acute: -pt. can take 2-4 puffs of SABA every 20 minutes
-Louder wheezing could mean therapy is working
-Decrease sense of panic: “talking down” technique
(eye contact, encourage pursed lip breathing and abdominal breathing
