Module 10 NP614 COPD

Question 1

What is the definition of sleep apnea

Answer 1

Upper airway narrowing or closure. Cessation of breathing

Question 2

What classes of meds should not be prescribed for those who c/o sleep apnea

Answer 2

Opiates and benzodiazapenes and Methadone

Question 3

Who should be screened for OSA?

Answer 3

Those where daytime sleeping is prominent. Screening is not recommended using the unattended home PSG as it is not sufficiently reliable.

Question 4

What is the best test to order for evaluation of this problem?

Answer 4

polysomnography (Overnight PSG)

Question 5

What are two common problems that cause patients to discontinue their C-PAP use?

Answer 5

Comfort and acceptance

Question 6

How can you relieve those problems?

Answer 6

Counsel and make sure client has a good fit.

Question 7

To get home oxygen

Answer 7

Must be at 88% or below on room air to qualify

Question 8

COPD

Answer 8

Diagnosed when 3 mos a year for two years of persistant cough and sputum production

Question 9

O2

Answer 9

Needs to be used 15 hours per day.

Question 10

1 thing you can do for COPD

Answer 10

Stop smoking

Question 11

Physical symtoms of COPD

Answer 11

flat diaphragm
darker lung tissue on x-ray
barrel chest AP-diameter

Question 12

What is used to make the diagnoses

Answer 12

Spirometry is required to make the clnical dx

Question 13

Beta blockers

Answer 13

Might be helpful in COPD

Question 14

Air flow in COPD

Answer 14

is only partially reversible

Question 15

Early diagnosis

Answer 15

is to slow the progression.

Question 16

Use bronchodilators 1st

Answer 16

Anticholinergic agents (work on the muscarinic receptors located on the smooth muscle (Atrovent and spiriva).
Rinse mouth after using!!

Question 17

Beta 2 agonists

Answer 17

Albuterol- work by relaxing the beta receptors in the muscles around the airways.

Question 18

Exacerbations

Answer 18

you might do a taper oral steroids for a week. or an antibiotic 1st or 2nd line. Amoxicillin or Zithromycin

Question 19

COPD

Answer 19

Only start ICS when the FEV1<50%

Start with the long-acting and then add Albuterol.