RCP 135

Question 1

____ of 11 years and younger

Answer 1

10.6%

Question 2

____ high school students

Answer 2

11.8%

Question 3

severity: mild persistent

Answer 3

-symptoms more than 2 days/week but not daily
-nighttime awakenings 3-4 times/month
-rescue med use more than 2 days/week but not daily
-minor interference with normal activities

Question 4

severity: moderate persistent

Answer 4

-symptoms daily
-nighttime awakenings > 1 time/ week but not nightly
-rescue med use daily
-some limitations of normal activities

Question 5

severity: severe persistent

Answer 5

-symptoms throughout the day
-nighttime awakenings almost nightly often
-rescue med use several times/day
-extreme interference with normal activities

Question 6

asthma control is defined as…

Answer 6

-daytime symptoms less than or equal to 2 days/week and less than 1 time a day
-less than 2 nighttime awakening/month due to asthma
-able to engage in normal activities
-use of rescue med less than or equal to 2 days/week

Question 7

peak flow meter: red

Answer 7

less than 50% of personal best, having an active asthma attack and should go to the hospital immediately!

Question 8

to find normal patient values for peak flow meter we need to know what?

Answer 8

-age
-height
-gender

Question 9

zone system: green zone

Answer 9

-80% of more of personal best
-good control
-no symptoms present
-take meds as usual

Question 10

zone system: yellow

Answer 10

-50-79% of personal best
-caution
-take an inhaled short-acting beta agonist
-if still in yellow, talk to physician about changing daily meds

Question 11

zone system: red

Answer 11

-less than 50% of personal best
-medical alert
-take a SABA immediately
-call physician or go straight to ER

Question 12

what is asthma?

Answer 12

asthma is a serious chronic disease affecting the airways. A condition in which a person’s airways become swollen, inflamed, and narrowed while producing extra mucus making it difficult to breathe and reducing airflow in and out of the lungs. Making this an obstructive disease.

Question 13

what kind of disease is asthma?

Answer 13

it is a obstructive disease

Question 14

status asthmaticus

Answer 14

does NOT respond to rescue medication

Question 15

what are the two categories of asthma?

Answer 15

-Intrinsic (non-allergic), -extrinsic (allergic)

Question 16

extubation/flares are caused by….

Answer 16

triggers such as:
-smoke
-dust
-mites
-mold
-cold air
-exercise

Question 17

KY is ___ highest rate in the US

Answer 17

3rd

Question 18

____ adults in KY (32% are smokers)

Answer 18

18.6%

Question 19

females ____ more likely after puberty to develop asthma

Answer 19

9.3%

Question 20

Cromolyn sodium is a preventative medication and….

Answer 20

-NEVER to be given during an asthma attack

Question 21

causes (triggers)

Answer 21

-different for everyone
-allergies
-avoidance strategies
-definition of well controlled

Question 22

how to get rid of dust mites

Answer 22

-encase mattress ins special dust-mite free cover
-reduce indoor humidity to <60%
-remove carpets from bedroom and from concrete floors
-place stuff such as stuffed toys in the freezer for a minimum of 8 hours or in the dryer for 10 minutes

Question 23

correct use of MDI’s

Answer 23

-Shaking the inhaler
-Use of spacer/holding chamber
-Only activate inhaler ONCE for each inspiration
-Hold breath as you count to 10 slowly
-Wait one to two minutes between puffs
-Clean inhaler/spacer as needed
-Know when to replace

Question 24

long-term control meds

Answer 24

-reduce inflammation
-must be taken daily
-do NOT expect quick relief
-examples: cromolyn sodium, singular, accolate Flovent

Question 25

quick relief meds/rescue

Answer 25

-short acting beta2 agonist
-relax muscles around airways
-provide prompt relief of symptoms
-if used daily, indicates need for starting or increasing long-term control meds
-examples… albuterol, Xopenex

Question 26

classification of severity is based on…

Answer 26

-symptoms
-nighttime awakenings
-rescue medication use
-interference with normal activities

Question 27

severity: Intermittent

Answer 27

-symptoms equal to or less than 2 days/week
-nighttime awakenings less than 2 times/ month
-rescue med use less than or equal to 2 days/week
-no interference with normal activities

Question 28

peak flow meters

Answer 28

-measures how well air moves OUT of the lungs
-results may indicate decreased flows before a patient will show symptoms
-any patient older than 5 can usually use

Question 29

peak flow meter: Green

Answer 29

80-100% of personal best, indicates good control

Question 30

peak flow meter: yellow

Answer 30

50-80% of personal best, use caution and make sure you are taking your medications