Exam (elaborations)
CMN 568 Unit 3: Questions With Solutions (Graded A+)
- Course
- Institution
CMN 568 Unit 3: Questions With Solutions (Graded A+)
[Show more]
Content preview
CMN 568 Unit 3: Questions With Solutions (Graded A+)What are the 3 characteristics of Asthma Right Ans - Bronchoconstriction
Airway Inflammation
Reversible airflow limitation
Which inhaled anticholinergic is best used for asthma pt. w/an intolerance to
beta agonist or w/ bronchospasms due to beta blocker meds? Right Ans -
Ipratropium Bromide
What is the primary tx for pt. w/moderate to severe asthma exacerbations
who do not respond promptly and completely to SABA? Right Ans -
Systemic Corticosteroids
Which bacterial infections predispose exacerbations of asthma Right Ans -
M. Pneumoniae and C. Pneumoniae
Is routine use of antimicrobials recommended for acute exacerbations of
asthma Right Ans - No, only use when likelihood of acute bacterial
respiratory tract infection
Name short acting beta agonist Right Ans - albuterol, levalbuterol, bitolerol,
pirbuterol, terbutaline
What does a SABA do? Right Ans - acts directly by relaxing bronchial
smooth muscles.
What do long-term pharmacologic agents accomplish for asthma pt. Right
Ans - act primarily to attenuate airway inflammation.
Why take long-term pharmacologic agents for asthma daily? Right Ans - to
achieve and maintain control of persistent asthma independent of symptoms.
What does the NAEPP recommend as the cornerstone of daily treatment of
persistent asthma? Right Ans - daily anti-inflammatory therapy with
inhaled corticosteroids
Role of corticosteroids with asthma Right Ans - Reduce inflammation
(acute and chronic) = improved airflow, decreased airway hyper-
,responsiveness and fewer asthma exacerbations, and potentiate the action of
beta-adrenergic agonist.
1st. line treatment agent for all pt w/persistent asthma (long term controller)
Right Ans - Inhaled Corticosteroids
How often to most patient use inhaled corticosteroids? Right Ans - Twice
daily to provide adequate control.
How long can it take to see maximum response of inhaled corticosterioids?
Right Ans - Months
What can a patient do to reduce side effects of inhaled corticosteroids?
Right Ans - Rinse mouth after each use
A patient has an exacerbation of asthma, what is the most effective treatment
to achieve prompt control? Right Ans - Systemic (oral) corticosteroids
Dose of oral corticosteroids for children during exacerbation of asthma
Right Ans - 1-2 mg/kg/day.
Can be either a single dose or divided BID.
MAX 60 mg/day
Dose of oral corticosteroids for adults during exacerbation of asthma Right
Ans - 40-60 mg/day
either as a single dose of divided BID
Duration of treatment of oral corticosteroids for asthma exacerbation Right
Ans - 3-10 days or until symptoms resolve
(no evidence that tapering dose of PO steroids prevents relapse)
When treating exacerbation of asthma, what is the preferred treatment plan?
Right Ans - Alternate days rather than daily treatment.
What additional medications are required to be given concurrent with
systemic corticosteroids to prevent corticosteroid induced bone mineral loss?
Right Ans - Vitamin D and Calcium
, Should systemic corticosteroids be rapidly discontinued? Right Ans - No, to
prevent adrenal insufficiency
Name some mediator inhibitors to treat asthma Right Ans - Cromolyn
sodium and nedocromil
What is the mechanism of action of mediator inhibitors? Right Ans -
prevent asthma symptoms, improve airway function in pt w/mild persistent
of exercise induce asthma
When are mediator inhibitors effective? Right Ans - Before allergen
exposure or exercise
Do not relieve asthmatic symptoms once present.
Name the Long acting beta 2 agonist (LABA) for asthma Right Ans -
Salmeterol and Formoteol
How are LABA's delivered? Right Ans - dry powder
What are LABA's used for Right Ans - Long term prevention of asthma
symptoms
Nocturnal symptoms
Prevention of exercise induced bronchospasm
Should LABA be used as monotherapy Right Ans - NO
linked to fatal asthma when used alone
has no anti-inflammatory effects- so use w/a corticosteroid.
What does LABA + low or medium dose of corticosteroids given together
provide for the patient. Right Ans - The equivalent to what would be if
doubled the inhaled corticosteroid.
Name the action of anticholinergic agents, short acting muscarinic agents
(SAMA) and long acting muscarinic agents (LAMA) Right Ans - Reverse
vagally medicated bronchospasm but NOT allergen or exercise induced
broncospasms
Is Ipratropium bromide (SAMA) as effect as a SABA for relief of acute
bronchospasm Right Ans - No
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller LeCrae. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
73091 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now