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Untitled document - T233118.528

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Untitled document - T233118.528

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  • June 4, 2024
  • 13
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers
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denicetho
NR 601 Exam Questions and Answers
2024
Metacholine test - ANS-airway decreases in size after metacholine test

Pulmonary Function Test (Spirometry) - ANS-a machine records the volume and speed
of air as a patient breathes in and out
Take a deep breath and blow out as hard and fast as you can for as long as you can

FEV1 - ANS-forced expiratory volume in 1 second

Full vital capacity - ANS-all of the air that you breathed out

FEV1/FVC normal - ANS-=>80%

Asthma (or any other obstruction disease) FEV1/FVC - ANS-<80%

Peak Flow - ANS-used to diagnose and monitor
Patient's own "100%" max
Green=80-100%
Yellow=50-80% take medication to get back into the green
Red<50% go to the hospital NOW

NO test - ANS-when a person is thought to have asthma, but need to see if asthma
treatment will help them
by breathing in NO (dilates the smooth muscule) it shows that the corticosteroid will
work

Severity of asthma determined by - ANS-how many days a week a patient has an attack

Intermittent (mild) Asthma - ANS-use medications less than twice a week Well controlled

Asthma

Mild Persistent - ANS-Symptoms occur more than twice a week but not daily

, Not Well Controlled Asthma

moderate persistent asthma - ANS-Daily symptoms occur - needing rescue meds daily

Poorly controlled asthma

Severe Persistent Asthma - ANS-Symptoms occur more than once daily
Never let a patient walk around like this!
Poorly Controlled Asthma

Well controlled asthma - ANS-Symptoms occur less than two days/week

Treatment Products - ANS-Nebulizer=expensive, takes 10 minutes Inhalers- best
way to use it is with a spacer (Takes about 30 seconds, small, cheap)

Drugs that decrease inflammation in asthma - ANS-steroids
leukotriene inhibitors

Bronchodilators - ANS-Beta agonist-works on the b2
Theophylline-monitor levels closely

Chronic Bronchitis - ANS-too much mucous

COPD is - ANS-emphysema and chronic bronchitis

Things that lead to COPD - ANS-allergies
smoking
pollution
smog

Blue Bloater - ANS-Hypoxemia, hypercapnia (chronic bronchitis)
Lips, eyes, skin will be blue
Takes bigger and deeper breaths that leads to the increase of the diameter of the chest
CO2 gets trapped in the lungs, which further leads to the expansion of the lungs

Cough for COPD diagnosis? - ANS-3 months/year for two years

COPD increases risk for - ANS-pneumonia due to obstruction of mucous

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