Skills Exam Review

Question 1

patients with asthma should have a relieve agent which us usually an albuterol inhaler. others might be using an ICS/LABA inhaler which is called?

Answer 1

symbicort (budesonide/formoterol)

Question 2

for asthma, if pt is not using a controller inhaler with uncontrolled asthma, what should they be given?

Answer 2

an ICS
ex.
budesonide, fluticasone, mometasone

Question 3

if pt has uncontrolled asthma and they use an ICS, what should be given?

Answer 3

ICS/LABA such as symbicort

Question 4

what are nonpharm interventions for asthma?

Answer 4

inhaler technique
avoid triggers and keep reliever inhaler with them at all times
recommend smoking cessation as needed

Question 5

what is recommended treatment for COPD? drug example?

Answer 5

LAMA + LABA
anoro ellipta

Question 6

what are nonpharm interventions for COPD?

Answer 6

inhaler technique
address smoking cessation as needed
keep vaccinations up to date

Question 7

what is recommended treatment for heart failure?

Answer 7

add loop diuretic (furosemide) and review med adherence. review side effects
recommend potassium supplementation if K+ lab levels are not elevated

Question 8

what are nonpharm recommendations for heart failure?

Answer 8

DASH diet, avoid smoking, alcohol moderation
have pt weigh themselves daily, if they gain more than 5 pounds in 3 days call our office

Question 9

for pt with pneumonia who is otherwise healthy with no risk factors for antibiotic resistant pathogens, which antibiotics could be given?

Answer 9

amoxicillin (preferred) or doxycycline or a azithromycin

Question 10

if a pt with pneumonia has chronic heart, lung, or kidney disease, alcoholism, diabetes, or asplenia, or its an antibiotic resistant pathogen, then what is the recommended treatment?

Answer 10

amox/clav or cefpodoxime or doxycycline

Question 11

what are nonpharm treatments for pneumonia?

Answer 11

rest, stay hydrated, if pt worsens or doesn’t feel better in 2-3 days then call office