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Respiratory - Semester I > Unit 5 Exam > Flashcards

Unit 5 Exam Flashcards

1
Q

Pulmozyme is a

A

Mucolytic

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2
Q

Normal adult peak expiratory flow range is

A

300 - 600 mL

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3
Q

Peak Flow Instruction - The patient should be instructed to place the meter in their mouth take a deep breath in and:

A

Forcefully exhale fully and rapidly

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4
Q

The liter flow range for HHN is:

A

6-9 Lpm

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5
Q

The abbreviation QID refers to

A

Four times daily

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6
Q

The symptoms of lightheadedness and tingling during HHN treatment are most commonly caused by

A

Hyperventilation

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7
Q

A COPD patient on a 50% air entrainment mask becomes drowsy and unresponsive. Most likely the result of:

A

Increased PaCO2

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8
Q

True or False: The addition of headspace effects the patients CO2 level by increasing it.

A

True

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9
Q

One of the purposes of the reservoir on a HHN is to:

A

Conserve medication

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10
Q

The RCP is asked to deliver medication to a CF pt via HHN that will improve the mobilization of sputum. Which?

A

Pulmozyme

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11
Q

The primary purpose of performing PEF with a HHN is to

A

Determine response to medication

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12
Q

The classification of drug given to reduce inflammation of the airways is:

A

Corticosteroids

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13
Q

The drug which should always be given with a bronchodilator is

A

Mucomyst

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14
Q

Which medication can be given during an acute asthma attack

A

Albuterol

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15
Q

A its pre-tx was 80bpm your are giving an albuterol SVN and notice half way through their tx the HR is 96 what next?

A

Continue treatment as ordered

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16
Q

True or False: The name given to a drug by the company manufacturing/selling it is the generic name?

A

False

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17
Q

Following an increase in the patient’s HR from Albuterol. The RT should recommend which of the following with the next tx?

A

1.25 mg Levalbuterol/3ml NaCl

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18
Q

A patient with emphysema is taught to exhale through pursed lips to

A

Prevent small airway closure during exhalation

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19
Q

The repeated administration of Fluticasone by MDI is associated with which of the following side effects?

A

Oral candidas

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20
Q

Which of the following is NOT a reason for selecting a specific medication delivery device

A

Patient Characteristics

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21
Q

Vesicular lung sounds indicate which of the following

A

Normal lung sounds

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22
Q

While administering I.S. to a patient they being to have tingling in their fingertips and feel slightly dizzy- now what?

A

Have the patient rest between breaths

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23
Q

While assessing a pt for HHN therapy, you note the presence of bronchial BS in the LLL. This results from:

A

Consolidation/pneumonia

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24
Q

What is the minimum flow required to trigger the autodialer MDI

A

22 Lpm

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25
Q

Which is NOT a benefit of a breath hold with an I.S.?

A

Better deposition of medication

26
Q

Find a pt to have a pulse of 124, a RR of 32, and appear to be slightly cyanotic. Your immediate action would be to:

A

Perform pulse oximetry

27
Q

The classification of medications responsible for coating the mast cell to prevent broncho-constriction is

A

Mediator antagonist

28
Q

Particle size for deposition in the lower airways is:

A

2-5 microns

29
Q

The primary side effect of the bronchodilator administered via HHN is:

A

Tachycardia

30
Q

Which of the following meds should always given with a spacer device to minimize oral complications of the medications

A

Corticosteroids

31
Q

The patient should be instructed to do what following a steroid MDI?

A

Rinse the mouth after the inhaler

32
Q

A baffle is responsible for:

A

Breaking down particle size

33
Q

To administer the HHN treatment with the closest possible FIO2 to 50 %, what will be the required liter flow?

A

7 lpm

34
Q

Which of the following is the best device for the administration of a controlled O2 percentage?

A

Venturi mask

35
Q

Measurement with a Wright’s Respirometer produces a VE of 7.6 L with a RR of 18. What is the patient’s spontaneous Vt.?

A

422 ml

36
Q

Pentamadine is administered to treat and/or prevent

A

Pneumocystis jioceci penumonia

37
Q

A child with suspected croup with present with what breath sounds?

A

Stridor

38
Q

A child with low O2 sat with tachycardia and tachypnea what would an initial tx be?

A

Administer oxygen at 3-4 lpm

39
Q

What medication is used to reduce upper airway swelling in croup and/or stridor?

A

Racemic Epinephrine

40
Q

What has would be used to help deliver oxygen past an airway obstruction>

A

Heliox therapy

41
Q

What color is the cylinder of the heliox?

A

Green/brown

42
Q

How do you administer heliox?

A

Non-rebreather

43
Q

True or False: Respimat inhalers require good hand-breath coordination?

A

False

44
Q

True or False: You would obtain all the following vital signs when giving a HHN? HR, RR, BS, SaO2?

A

True

45
Q

True or False: You can administer a nebulizer with all the following gas supplies? Air compressor, cylinder O2, piped O2 and air?

A

True

46
Q

True or False: You can only give a HHN with a mouth piece?

A

False

47
Q

True or False: Albuterol is available in both MDI and SVN form?

A

True

48
Q

True or False: Salmeterol is a long acting bronchodilator?

A

True

49
Q

True or False: Xopenex is said to have less side effects on the patients heart rate as albuterol?

A

True

50
Q

True or False: Formoterol is available in an SVN and DPI form?

A

False

51
Q

True or False: Ipratropium Bromide is also known as Albuterol

A

False

52
Q

True or False: Tiotropium Bromide is available in an MDI form?

A

False

53
Q

True or False: Flovent comes in DPI or MDI?

A

True

54
Q

True or False: Beclomethasone is the same thing as QVAR and it is a long acting bronchodilator?

A

False

55
Q

True or False: Budesonide is used to treat CF?

A

False

56
Q

True or False: Mucomyust smells like rotten eggs and can be given in 2 strengths? 10 or 20%

A

True

57
Q

True or False: Dornase Alfa is a corticosteroid?

A

False

58
Q

True or False: Fluticasone and Salmeterol is also called Advair?

A

True

59
Q

True or False: Dulera is another name for formeterol and salmeterol?

A

False

60
Q

Albuterol and Atrovent is also called the following expect?

A

Ipratropium bromide and xopenex

61
Q

True or False: Symbicort is also called budesonide and formoterol?

A

True

Respiratory - Semester I (13 decks)

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