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CMN 568-Unit III (Questions & Accurate Answers)
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CMN 568-Unit III (Questions & Accurate Answers)
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CMN 568-Unit III (Questions & Accurate Answers)Vocal fold dysfunction Right Ans - Closing folds during inhalation
How can you distinguish asthma or exercise-induced asthma from vocal fold
dysfunction syndrome? Right Ans - Lack of response to bronchodilator
therapy
What is the strongest predictor of asthma? Right Ans - Atopy: It is defined
as the genetic tendency to develop allergic diseases such as allergic rhinitis,
asthma, and atopic dermatitis (Eczema)
What are some common allergens in asthma patients? Right Ans - Dust
mites, cockroaches, animal dander, seasonal pollens
Cigarette smoke/ Air pollution
What are some common symptoms of Asthma? Right Ans - Episodic
wheezing
Recurrent cough
Chest tightness
Dyspnea
What tests are used to diagnose asthma? Right Ans - Pulmonary Function
Tests/Spirometry
Is a chest xray indicated in diagnosing asthma? Right Ans - No imaging such
as c-xray is not needed unless r/pneumonia during exacerbation
Asthma Age Groups Right Ans - 0-4 Years
5-11 Years
12 & Up
Treatment of Acute Exacerbation Right Ans - SABA: Albuterol Inhaler 2-6
puffs; repeat in 20min x 3
Start short course of oral corticosteroids
Assess Immunization status
, *SABA may need to be continue q3h for 24-48 hours
Which of the following situations merits urgent referral to the hospital?
Select All That Apply:
A. Poor response to SABA after 2 treatments 20 min apart
B. Marked breathlessness
C. Oxygen Saturation <98% on Room Air
D. RR of 20
E. Use of accessory muscles
F. PEF of <50% personal best Right Ans - ABDF
Treatment for mild persistent asthma Right Ans - • L`ow dose inhaled
corticosteroids (ICS):
• Budesonide inhaled suspension for nebulizer (Pulmicort):
0.25-0.5mg/day either qd or bid dosing
• Fluticasone HFA/MDI (Flovent): 176mcg/day
Alternative:
Cromolyn inhaled (Intal): 20mg nebulizer qid
Acts as a mast cell stabilizer
Montelukast (Singular): 4mg po q am
Acts as a leuktriene-receptor blocker
Also used for allergic rhinitis
Three Components of Asthma Right Ans - Bronchoconstriction
Airway Inflammation
Reversible Airflow Limitation
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