wk 2 asthma ppt/1

Question 1

acute asthma episode can cause

Answer 1

respiratory distress

Question 2

is asthma reversible

Answer 2

yes

Question 3

_____ inhibitors are also used for asthmatics

Answer 3

leukotrienes

Question 4

s/s of hypoxemia

6

Answer 4

1. restlessness
2. increased anxiety
3. inappropriate behavior
4. increase PR
5. increased BP
6. pulse paradoxus (low SBP during inspriation)

Question 5

I/E ratios of asthma

3

Answer 5

1: 2
1: 3
1: 4

Question 6

most effective for inflammation from persistent asthma

Answer 6

ICSs/fluticasone

Question 7

asthma - what is effective in treating inflammation

Answer 7

corticosteroids

Question 8

drugs to open airways

Answer 8

bronchodilators

Question 9

acute asthma episode severity is measured with

Answer 9

flow rates

Question 10

intermittent asthma drugs step 1

Answer 10

SABA as needed

Question 11

asthma late phase

Answer 11

occurs within 4-10 hours after attack

Question 12

asthma dx studies

9

Answer 12

1. detailed H&P
2. pulmonary function tests
3. peak flow monitoring
4. chest x ray
5. ABGs
6. oximetry
7. allergy testing
8. blood levels of eosinophils
9. culture

Question 13

SABA ex

Answer 13

albuterol

Question 14

asthma patho - inflammatory mediators cause

Answer 14

early phase response

Question 15

classification of asthma

4

Answer 15

1. mild intermittent
2. mild persistent
3. moderate persistent
4. severe persistent

Question 16

asthma causes airway what

Answer 16

hyperresponsiveness leading to wheezing, breathlessness, chest tightness, and cough

Question 17

s/s of asthma in early stages

Answer 17

persistent cough

Question 18

asthma severe acute attack

3

Answer 18

1. RR >30
2. PR >120
3. PEFR is 40% at best

Question 19

asthma

Answer 19

chronic episodic inflammatory disorder of airways

Question 20

asthma percussion of lungs

Answer 20

hyperresonance

Question 21

drugs to reduce inflammatory response

Answer 21

steroids

Question 22

severe exacerbation treatment

3

Answer 22

1. three treatments of SABA spaced 20-30 mins apart
2. IV steroids every 4-6 hours
3. IV mag sulfate as bronchodilator

Question 23

asthma - what narrows the airways

3

Answer 23

1. bronchospasm
2. edema
3. mucus in narrow airways

Question 24

cough variant asthma

2

Answer 24

1. cough is only s/s

2. bronchospasm is not severe enough to cause airflow obstruction

Question 25

life threatening level of Pa02

Answer 25

< 60 mmHg

Question 26

asthma patho primary response is from

Answer 26

chronic inflammation from exposure to allergens or irritants

Question 27

asthma first line of drugs

Answer 27

short acting and inhaled steroids

Question 28

asthma - the level of control is determined by the patient’s what

Answer 28

current peak flow or FEV1

Question 29

length of oral prednisone tx is how long

Answer 29

about 10 days

Question 30

asthma early phase response includes

5

Answer 30

1. vascular congestion
2. edema formation
3. production of thick mucus
4. bronchial muscle spasm
5. thickening of airway walls

Question 31

for any classification of asthma, in a “rescue plan” pts are instructed to

Answer 31

take two to four puffs of albuterol every 20 mins 3 times

Question 32

PaCO2 and PaO2 - what is expected during status asthmaticus

Answer 32

elevated co2

decreased 02

Question 33

PaCO2 life threatening levels

Answer 33

greater than 70 mmHg

Question 34

life threatening asthma s/s

3

Answer 34

1. too dyspneic to speak
2. perspiring profusely
3. drowsy/confused

Question 35

med that is gold std for mild intermittent and mild persistent asthma

Answer 35

SABA/albuterol

Question 36

asthma - what is unreliable to gauge severity

Answer 36

wheezing

Question 37

chronic episodic inflammatory disorder of airways

Answer 37

asthma

Question 38

what OTC med can cause asthma attack

Answer 38

ibuprofen