Intro to Resp Assessment

Question 1

Describe asthma pathology

Answer 1

Question 2

What are the symptoms of asthma?

Answer 2

Wheezing, chest tightness, SOB, coughing

Question 3

How do you test for asthma?

Answer 3

1. history
2. FEV1/FVC
3. Response to bronchodilators
4. Methacholine challenge

Question 4

What is the goal of therapy of asthma?

Answer 4

Manage symptoms

Question 5

How would you diagnose asthma?

Answer 5

Question 6

What is the normal FEV1/FVC?

Answer 6

Adults: 75-80%
Children: 90%

Question 7

What are you looking for in a patient for asthmatic FEV1/FVC?

Answer 7

Adult and children: 12% increase or 200mL, after albuterol in the morning

Question 8

How do we control asthma?

Answer 8

1. assess symptom control over 4 weeks
2. identify risk factors
3. measure lung function before treatment, 3-6 months later, then periodically

Question 9

What are the doses of advair?

Answer 9

100/50
250/50
500/50

Question 10

What are the treatment issues of asthma assessment?

Answer 10

1. Physically able to take meds
2. Observe patient technique
3. Check for written action plan

Question 11

What are the questions to ask for asthma control?

Answer 11

1. Daytime symptoms more than twice/week
2. Any night waking due to asthma
3. Reliever needed for symptoms more than twice/week
4. Any activity limitation due to asthma

Question 12

What are the drugs used for asthma?

Answer 12

1. ICS
2. ICS/LABA
3. LTRAs
4. SABA
5. Anticholinergics
6. OCS
7. Anti IgE
8. Anti IL5
9. Theophylline

Question 13

What are the symptoms of COPD?

Answer 13

Same as asthma, but more lung infections, colored phlegm, weight loss, and cyanosis

Question 14

How do you test for COPD?

Answer 14

1. Spirometry
2. X rays
3. CT scans
4. Brocnhial challenges
5. Family hsitory
6. Risk factors

Question 15

What is the goal of COPD therapy?

Answer 15

Slow the progression

Question 16

Know the ABCD assessment tool

Answer 16