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CMN 568 Exam 3 (Chronic Respiratory Disorders)- Qs And As
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CMN 568 Exam 3 (Chronic Respiratory Disorders)- Qs And As
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CMN 568 Exam 3 (Chronic Respiratory Disorders)- QsAnd As
Atopy Right Ans - Strongest predictor of asthma
- genetic tendency to devleop allergic disease
Predisposing factors to asthma Right Ans - - genetic predisposition: family
hx or allergies, asthma
- obesity: *2nd leading cause*
- tobacco exposure: 2nd hand smoke in kids
- RSV or other viruses during infancy
- Atopy: strongest predictor of asthma
Symptoms of asthma Right Ans - - develop IMMEDIATELY (immediate
response) or 4-6 hours after exposure (late response)
T/F: asthma is more common in male children (<14 yr) and female adults
Right Ans - True
Asthma characteristics Right Ans - bronchoconstriction, airway
inflammation, reversible airflow limitation
What is IgE in asthma? Right Ans - Central role in allergic asthma
What is IL-5 in asthma? Right Ans - Promotes eosinophilic inflammation
S/S of asthma Right Ans - - Episodic wheezing
- Difficulty breathing
- Chest tightness
- Cough
- Excessive sputum production (common)
- May occur spontaneously or exacerbated by triggers
- Symptoms worse at night (3-4am)
Exercise-induced bronchoconstriction Right Ans - Occurs during exercise,
or within 3 minutes after it ends; peaks within 10-15 minutes, resolves by 60
minutes.
,Characteristics of SEVERE asthma attack Right Ans - *the only diagnostic
clue on asucultation is globally diminished breath sounds (absent wheeze)
and use of accessory muscles of respiration (nasal flaring and retractions)
What medication should be avoided with asthma? Right Ans - Beta-
blockers
What type of food should be avoided with asthma? Right Ans - Sulfite
containing foods
What is the AIRQ? Right Ans - Asthma Impairment and Risk Questionnaire
- for pt's >12 years
- 10 yes or no questions that evaluate symptoms, social and physical activities,
exacerbations, related healthcare resource utilization, perception of asthma
control, and use of rescue (reliever) medications
SCORING:
0-1: well-controlled
2-4: not well-controlled
5-10: very poorly controlled
What is the ACT? Right Ans - Asthma Control Test
- helps you and your pt determine whether their asthma is being properly
controlled
SCORING:
>20: well-controlled
16-19: not well-controlled
<15: very poorly controlled
What is a SABA? Right Ans - Short acting beta agonist
- albuterol
- levalbuterol
- bitolterol
- purbuterol
- terbutaline
, Most effective bronchodilator(s) Right Ans - *Short-Acting inhaled B-
Agonists* (SABA) (Such as proventil/Albuterol)
Primary treatment for those with mod-severe asthma exacerbation who do
not respond prompty or completely to SABA Right Ans - Corticosteroids
1st line of treatment for patients with persistend asthma Right Ans -
Inhaled corticosteroids
What mild bronchodilator is used for asthmatic patients? Right Ans -
Phosphodiesterase inhibitor: theophylline
MOA: anti-inflammatory and immunodilator properties. Enhances mucociliary
clearance and strengthens diaphragmatic contractility
MONITOR serum concentrations due to narrow therapeutic range
T/F: LABAs should be used as MONOTHERAPY Right Ans - FALSE. LABAs
should NOT be used as monotherapy. Theya re linked to fatal asthma when
used alone; have o anti-inflammatory effects, thus need to be used with
cortocosteroids
A five-year-old child has wheezing occurring at least twice a week during
physical exercise. The parent reports that the child has a dry cough at night,
which occurs several times a week. The child's asthma is classified as:
a. Mild persistent
b. Moderate intermittent
c. Moderate persistent
d. Severe persistent
e. none of the above Right Ans - Severe persistent
What is an appropriate medication regimen to initiate for an 11 year old
patient that you have diagnosed as having moderate persistent asthma and
has not yet been on medication for asthma.
a. prn SABA
b. prn SABA and low dose ICS + LABA
c. prn SABA and oral LTRA
d. low dose ICS
e. none of the above Right Ans - Prn SABA and low dose ICS + LABA
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