Week 6: Asthma Flashcards
Leads to chronic ______ of the airways or _______ so if we constrict the ______ ____ then air can flow less freely and there is also _____ _____ production, which can be thick and difficult to expel
Inflammation
Bronchoconstriction
Bronchial tree
Excess mucous
_____ asthma is the typical asthma we think of. It involves acute episodes triggered by those ____ ___ _____ reactions. The _____ and the sensitized ____ is triggering those ____ cells to release ____ and we have _____, that excess ____ production, and the ____ _____ issues that we think o f
Extrinsic Type 1 hypersensitivity IgE IgE Mast Histamine Bronchoconstriction Mucous Airway obstruction
_____ asthma is due to the ______ ____ in the airway. Something that can cause our tissue to be ______ are r____ ___, continued s____, _____, exposure to ____, inhalation of ____, and d___.
Intrinsic Hyperresponsive tissue Hyper-responsive Respiratory infection Continued stress Exercise Cold Irritants Drugs
In that asthma reaction the blood vessels become ____ because vessels are ____ during the ____ response. The ____ blood vessels along with the ______ tissue are going to start closing that ____.
Engorged Dilating Inflammatory Engorged Inflamed Airway
There will be ___ build up which will further _____ the airways and plug up certain airways as well as ____ our ___ _____ ____ that we have for ____ to occur.
Mucous Constrict Decrease Total surface area Diffusion
The ____ can actually spasm, we can have _____ which can lead to further _____ of even ____ of some of the ______ _____ vessels in the tree.
Muscle broncho spasming
Constriction
Closure
Smaller respiratory
In ___ asthma or in the ____ phases of an asthma attack, the individual is going to have a ____ ____ in the ____, so there’s going to be some ____ _____. There may be some ____ ____, ____, ____ ____ ____, breathing a little _____, and a ______ cough
Mild Early Tight feeling Chest Chest constriction Expiratory wheezing SOB Pain with breathing Fast Nonproductive
in a ___ asthma attack we might hear ____ on ___ and ___. Person will have worsening ____, and use of _____ _____ in order to ___ that ____ ______ to pull air in. Might expel ____ _____ ____ that built up with cough
Severe wheezing inspiration expiration Dyspnea Accessory muscles Expand Chest cavity Thick sticky mucous
Person with ___ asthma attack will have an increased ____ because they are trying to get that ____ through the body because of the ____ _____ in. There might be some ____ and __ which can be determined using our ____.
Severe HR Oxygen Limited oxygen Hypoxia and hypoxia my ABGS
_____ ___ is the worst case scenario. It is a ____ _____ asthma attack. This is when someone is not responding to usual _____ ____ and their status is getting ______. This is a ____ ____. It could be ___ due to ____ _____ and the ____ that follows. Might have ___ ____
Status asthmaticus Persistent severe Respiratory treatment Worse Medical emergency Fatal Severe hypoxia Acidosis Pulsus paradoxus
When diagnosing asthma we want to get a good ____ ___ and ____ ___. We want to determine someone’s ____, so that they can ____ it. An ___ can be used to assess person’s ____ condition. ____ to determine ____, _____, or _____.
Health history Physical exam Triggers Avoid FEV1 Breathing ABGS, hypercapnea, hypoxia, or acidosis
when diagnosing, the person’s _____ should also be checked to signify they have an ___ Type asthma. A ___ ____ may show _____. ____ ____ can be measured to make sure there is good ____ ____
Eosinophils Allergic Chest X-ray Hyperinflation Pulse oximetry Oxygen saturation
Treatment involves knowing ___ and ____ it, which can be done with a __ ___. The home or other environment should have ___ ___. ____ especially in children has been shown to help with ____ ____. ____, and lessen the impact of an ___ ____. For maintenance, a ___ or ____ might be used.
Triggers Avoiding Skin test Good ventilation Swimming; lung volume; breathing; asthma exacerbation
For an acute asthma attack there are some ____ _____ ____ like ____ they may need. They need _____ and _____. The person may also learn some ____ ___ to manage these attacks
Short acting inhalers
Albuterol
Bronchodilators and gluccorticoids
Breathing techniques
Asthma can be classified as
Mild intermittent mild persistent Moderate persistent Severe persistent *based on how often they use their short acting bronchodilator, how hard it is to sleep or awake without using something etc.
Monitoring ____ and ____ ____ is extremely important. The ____ _____ ___ ____ and _____, if they have less than ____ their personal best it may signal an asthma attack is coming on. If less than ___ they should see their healthcare provider/ go to emergency room
Pulmonary Lung function Peak expiratory rate Fev1 80% 60%
Asthma can be ____. It is basically an _____ _____
Intermittent
Airway
Obstruction
