Metacholine test
airway decreases in size after metacholine test
Pulmonary Function Test (Spirometry)
a machine records the volume and speed of air as a patient breathes in and out
Take a deep breath and blow out as hard and fast as you can for as long as you can
00:02
01:10
...
Metacholine test - Answer airway decreases in size after metacholine test
Pulmonary Function Test (Spirometry) - Answer a machine records the volume and
speed of air as a patient breathes in and out
Take a deep breath and blow out as hard and fast as you can for as long as you can
FEV1 - Answer forced expiratory volume in 1 second
Full vital capacity - Answer all of the air that you breathed out
FEV1/FVC normal - Answer =>80%
Asthma (or any other obstruction disease) FEV1/FVC - Answer <80%
Peak Flow - Answer used to diagnose and monitor
Patient's own "100%" max
Green=80-100%
Yellow=50-80% take medication to get back into the green
Red<50% go to the hospital NOW
NO test - Answer when a person is thought to have asthma, but need to see if asthma
treatment will help them
by breathing in NO (dilates the smooth muscule) it shows that the corticosteroid will
work
Severity of asthma determined by - Answer how many days a week a patient has an
attack
Intermittent (mild) Asthma - Answer use medications less than twice a week
Well controlled Asthma
Mild Persistent - Answer Symptoms occur more than twice a week but not daily
, Severe Persistent Asthma - Answer Symptoms occur more than once daily
Never let a patient walk around like this!
Poorly Controlled Asthma
Well controlled asthma - Answer Symptoms occur less than two days/week
Treatment Products - Answer Nebulizer=expensive, takes 10 minutes
Inhalers- best way to use it is with a spacer (Takes about 30 seconds, small, cheap)
Drugs that decrease inflammation in asthma - Answer steroids
leukotriene inhibitors
Bronchodilators - Answer Beta agonist-works on the b2
Theophylline-monitor levels closely
Chronic Bronchitis - Answer too much mucous
COPD is - Answer emphysema and chronic bronchitis
Things that lead to COPD - Answer allergies
smoking
pollution
smog
Blue Bloater - Answer Hypoxemia, hypercapnia (chronic bronchitis)
Lips, eyes, skin will be blue
Takes bigger and deeper breaths that leads to the increase of the diameter of the chest
CO2 gets trapped in the lungs, which further leads to the expansion of the lungs
Cough for COPD diagnosis? - Answer 3 months/year for two years
COPD increases risk for - Answer pneumonia due to obstruction of mucous
COPD treatment - Answer remove irritants- SMOKING CESSATION, promote healthier
work environments, reduce exposure to allergens
Treat Inflammation- bronchodilators/steroids/luekotriene inhibitors
Decrease Mucus Production
B2 agonist - Answer bronchodilators
anticholinergics - Answer bronchodilators
steroids stop inflammation - Answer in the process of the inflammation cascade
leukotriene inhibitors stop inflammation - Answer at the end of the inflammation cascade
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