week 2

Question 1

define FVC

Answer 1

forced vital capacity: max amount of air that can be exhaled

Question 2

define FEV1

Answer 2

forced expiratory volume in the 1st second

Question 3

what is normal FEV1/FVC?

Answer 3

0.70

Question 4

what do the GINA guidelines say for managing asthma compared to the NIH?

Answer 4

GINA says to use SMART therapy where you inhale steroid every time you inhale albuterol. NIH says just prn albuterol is okay

Question 5

prn albuterol is fine IF patient has intermittent asthma, defined as symptoms less than __ days/week, less than ___ nighttime awakenings/month and use of SABA less than ___ days/week

Answer 5

2,2,2

Question 6

montelukast is considered an ______ agent to ICS

Answer 6

alternative

Question 7

what is the BBW for montelukast?

Answer 7

neuropsychiatric events

Question 8

Diabetic ketoacidosis vs. hyperosmolar hyperglycemic state:
very similar and treated the same. pts with HHS usually have a pH greater than _____ and bicarb over ______ with more altered mental status.
ketoacidosis is characterized by ______ in the blood and the patient being in ______

Answer 8

7.3, 18
ketones, acidosis

Question 9

patients with DKA or HHS generally have high _______. Therefore, when we give insulin we must also give ________

Answer 9

potassium, potassium