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NR 601 Exam Questions and Answers2024
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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