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Unit 3 CMN 568 McPhee Ch. 9 Questions and Answers Fully Solved
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Unit 3 CMN 568 McPhee Ch. 9
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Unit 3 CMN 568 McPhee Ch. 9Exercise induced asthma begins during exercise or within ______minutes after it ends
but peaks within _____and then resolves by _______minutes. - answer3
10-15 minutes
60 minutes
_________ __________ is wheezing precipitated by decompensated heart failure. -
answercardiac wheezing
What are the s/s of asthma? - answer-Nasal mucosal swelling
-secretion increases
-polyps
- Eczema
-atopic dermatitis
-other allergic skin disorders
- Wheezing or a prolonged expiratory phase
What pulmonary function test is administered with a SABA? - answerSpirometry
Spirometry determines if asthma is reversible after a inhaling a SABA. What is the
percent increase in FEV1 and FVC? - answerSignificant reversibility of airflow
obstruction is defined by an increase of ≥ 12% and 200 mL in FEV1 or ≥ 15% and 200
mL in FVC after inhaling a short-acting bronchodilator.
What is the importance of PEFs? - answerrecommended to help confirm the diagnosis
of asthma, to improve asthma control in patients with poor perception of airflow
obstruction, and to identify environmental and occupational causes of symptoms.
PEF values are best when compared with__________ - answerThe patients own
baseline rather than predicted values.
When is the best time to measure PEF? - answerin the morning upon awakening before
the bronchodilator and in the afternoon after taking a bronchodilator
A) A change of PEF values of _____% from morning to afternoon is indicative of
inadequately controlled asthma. B) PEF values of <______ indicate severe airflow
obstruction. - answerA) 20%
B) 200 L/min
What are the four components of asthma management and diagnosis? - answer(1)
assessing and monitoring asthma severity and asthma control, (2) patient education
, designed to foster a partnership for care, (3) control of environmental factors and
comorbid conditions that affect asthma, and (4) pharmacologic agents for asthma.
What is considered the cornerstone of treating persistent asthma? - answerdaily anti-
inflammatory therapy with inhaled corticosteroids
What meds are considered long term control meds? - answerAnti-inflammatory agents,
long-acting bronchodilators, and leukotriene modifiers
Dry powder inhalers (DPIs) are not used with an inhalation chamber. T/F - answerT
Why is bone mineral density testing done after 3 or more months of systemic
corticosteriod use? - answerguides the use of bisphosphonates for treatment of steroid-
induced osteoporosis.
In general, systemic corticosteroids are used for ___________or ______________. -
answerexacerbations or long-term asthma therapy in patients with severe symptoms.
When using oral corticosteriods, every effort must be made to reduce the dose to the
minimum needed to control symptoms. Name one way in which you can achieve this. -
answerBy implementing alternate day treatments.
What 2 medicines should be given concurrently with oral corticosteriods? Why? -
answerVitamin D and Calcium
Prevents induced bone mineral loss over the long term.
What are the mediator inhibitors mainly used for? - answerinhibit both early and late
asthmatic responses to allergen challenge and exercise-induced bronchospasm.
What drug may reduce the dose requirements of the ICS? - answerNedocromil (Mast
Cell Stabilizer)
LABAs provide bronchodilation up to ____hours after a single dose. - answer12
LABAs are not to be used as ______________ - answernot be used as monotherapy
When should antibiotics be considered when treating a asthma patient for URI? -
answerAntibiotics should be considered when there is a high likelihood of acute
bacterial respiratory tract infection, such as for patients with fever or purulent sputum
and evidence of pneumonia or bacterial sinusitis.
Increased use of SABA (more than one canister a month) or lack of expected effect
indicates diminished asthma control and indicates need for additional long term control
therapy. T/F - answerT
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