NR 602 FINAL EXAM AND QUESTIONS GRADED A+

NR 602 Final exam,questions and answers graded 100% Step 1 Asthma approach-Intermittent -- symptoms 2x or less per week asymptomatic and normal PED requires SABA 2 days/week no interference with normal activities brief exacerbations nighttime symptoms 2x or less a month lung fx- FEV80% predicted Step 2 Asthma Approach-Mild persistent -- Symptoms 2 x a week, less than once per day requires SABA more than 2days/week, no more than once a day exacerbations may affect activity nighttime symptoms 3-4x a month FEV 80% predicted Step 3 Asthma Approach-Moderate Persistant -- daily symptoms daily use of SABA some limitations 2x or more per week exacerbations nighttime symptoms more than 1x per week, not nightly FEV 60% but 80% Step 4 Asthma Approach-Severe Persistent -- continual symptoms requires SABA multiple x a day extremely limited activity nighttime symptoms 7x a week FEV 60% Tx of asthma -- Stepwise approach step 1: SABA PRN step 2: low dose ICS Step 3: low dose ICS+ LABA or medium dose ICS step 4: Medium dose ICS+LABA Step 5: high dose ICS+ LABA Step 6: High dose ICS+LABA + corticosteroid Step 6 Asthma Approach -- Bulbar/palpebral conjunctival infection -- May be unilateral or bilateral Leukocoria -- abnormal appearance of a white film in the pupil; immediate referral to pediatric ophthalmologist warranted Causes: retinal detachment, cataract, retinal dysplasia, newborn retinoblastoma Visual screening in children -- At least once between ages 3-5 y/o according to USPSTF AOM -- RF: genetics, males, Native American, siblings, low economic status, ages 6mo-3y, winter, supine bottle feeding, daycare, tobacco smoke S/S of AOM -- erythema, otalgia, bulging TM, absent cone of light