Pediatric COPD

Question 1

Cystic Fibrosis

Answer 1

Genetic disease characterized by an exocrine gland dysfunction causing excessive mucus production

Question 2

Intermittent asthma

Answer 2

Symptoms that last less than two days and don’t affect daily function, rescue medication for symptoms

Question 3

Mild persistent asthma

Answer 3

Symptoms last less than two days and affect daily life mildly, daily Meds and rescue Meds for treatment

Question 4

Moderate persistent asthma

Answer 4

Symptoms daily with interference with daily life, daily inhaled Meds, exacerbations last for days

Question 5

Severe persistent asthma

Answer 5

Continual symptoms that limit daily living, high doses of steroids daily for Meds, frequent exacerbations

Question 6

Extrinsic asthma triggers

Answer 6

Allergens, foods, irritants, colds

Question 7

Intrinsic asthma triggers

Answer 7

Emotional, exercise, conditions, hormones

Question 8

S/S of asthma

Answer 8

Inspiratory and expiatory wheeze, cough, SOB, restlessness, headache, chest tightness, accessory muscle use, hyperresonance on percussion, tripoding

Question 9

Rescue asthma Meds

Answer 9

Medications for quick relief

Question 10

Types of rescue asthma drugs

Answer 10

Beta adrenergic agonists (bronchodilators), corticosteroids (anti inflammatory)

Question 11

Types of long term asthma drugs

Answer 11

Non steroid inhaler, leukotriene modifiers and long acting beta aginists

Question 12

Cystic Fibrosis

Answer 12

Endocrine disorder that increases mucus production in the respiratory, GI, integumentary, and reproductive

Question 13

How do you develop Cystic Fibrosis

Answer 13

It is genetic disease that is obtained in 1/4 of babies born to CF carriers

Question 14

Respiratory symptoms of CF

Answer 14

Viscous mucus, cough, dyspnea, wheeze, atelectasis, clubbing, barrel chest, cyanosis

Question 15

GI symptoms of CF

Answer 15

Steatorhea (fat in stool), prolapsed rectum, weight loss, malabsorption of fat soluble vitamins, abdominal distention, meconium ileus, distal intestinal obstruction syndrome

Question 16

Skin and reproductive symptoms for CF

Answer 16

Increased sodium in sweat, mucus plus cervix, delayed female puberty, male sterility

Question 17

Pulmonary therapy for CF

Answer 17

Chest physiotherapy, forced expiration, bronchodilators, mucolytics, corticosteroids, antibiotics, oxygen, lung transplant

Question 18

Manual chest PT

Answer 18

Cupping hits on the back to get the mucus broken up and out

Question 19

Mechanical chest PT

Answer 19

Vibrating vest

Question 20

When not to do when in chest PT

Answer 20

after eating, pulmonary hemorrhage, PE, increased intracranial pressure, osteogenesis imperfecta, cardiac complications, anomalies, after Meds, ESRD

Question 21

Drugs for CF

Answer 21

Nebulized bronchodilators, mucolytics, antibiotics, kalydeco (genetic therapy)

Question 22

Problematic infections with CF patients

Answer 22

P. aeruginosa, B. cepacia (moves through CF patients very quickly), E. coli, flu, MRSA, fungal infections

Question 23

Diet for a CF patient

Answer 23

High calorie, high protein, limit fat intake, pancreatic enzymes before meals, vitamins A D E K supplements, high salt, frequent meals

Question 24

Asthma

Answer 24

Characterized by chronic inflammation and exacerbated by irritation from an allergen, bacteria, virus, exercise or stress