CMN 568 Unit 3 Test with Verified Answers.
_`- _`- _`- _`- _`- _`- _`- _`-
When treating exacerbation of asthma, what is the preferred treatment
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
plan? Alternate days rather than daily treatment.
_`-_`- _`- _`- _`- _`- _`- _`-
Which lung disorder is related to inhaling products of combustion causing
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
serious acute respiratory complications
_`- Smoke Inhalation
_`- _`- _`-_`- _`- _`-
What are the three consequences of smoke inhalation that must be assessed
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
_`- Impaired tissue oxygenation
_`- _`- _`-
Thermal Injury to upper airway _`- _`- _`- _`-
thermal injury to lower airway and lung parenchyma
_`- _`- _`- _`- _`- _`- _`-
What additional medications are required to be given concurrent with
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
systemic corticosteroids to prevent corticosteroid induced bone mineral loss?
_`- _`- _`- _`- _`- _`- _`- _`- _`-_`-
Vitamin D and Calcium
_`- _`- _`- _`-
Should systemic corticosteroids be rapidly discontinued?
_`- _`- _`- _`- _`- _`-_`- No, to prevent
_`- _`- _`- _`-
adrenal insufficiency _`-
What are the 3 characteristics of Asthma
_`- _`- _`- _`- _`- _`- _`-_`- _`- Bronchoconstriction
Airway Inflammation _`-
Reversible airflow limitation _`- _`-
,Which inhaled anticholinergic is best used for asthma pt. w/an intolerance to
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
beta agonist or w/ bronchospasms due to beta blocker meds?
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`-_`- _`-
Ipratropium Bromide _`-
What is the primary tx for pt. w/moderate to severe asthma exacerbations
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
who do not respond promptly and completely to SABA?
_`- _`- _`- Systemic _`- _`- _`- _`- _`- _`-_`- _`- _`-
Corticosteroids
Which bacterial infections predispose exacerbations of asthma
_`- _`- _`- _`- _`- _`- _`-_`- _`- M. _`-
Pneumoniae and C. Pneumoniae _`- _`- _`-
Is routine use of antimicrobials recommended for acute exacerbations of
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
asthma No, only use when likelihood of acute bacterial respiratory tract
_`-_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
infection
Name short acting beta agonist
_`- _`- _`- _`- _`-_`- _`- albuterol, levalbuterol, bitolerol,
_`- _`- _`-
pirbuterol, terbutaline _`-
What does a SABA do?
_`- _`- _`- _`- _`-_`- _`- acts directly by relaxing bronchial smooth
_`- _`- _`- _`- _`- _`-
muscles.
What do long-term pharmacologic agents accomplish for asthma pt.
_`- _`- _`- _`- _`- _`- _`- _`- _`-_`- _`- act _`-
primarily to attenuate airway inflammation.
_`- _`- _`- _`-
Why take long-term pharmacologic agents for asthma daily?
_`- _`- to achieve _`- _`- _`- _`- _`- _`-_`- _`- _`- _`-
and maintain control of persistent asthma independent of symptoms.
_`- _`- _`- _`- _`- _`- _`- _`-
, What does the NAEPP recommend as the cornerstone of daily treatment of
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
persistent asthma? daily anti-inflammatory therapy with inhaled
_`- _`-_`- _`- _`- _`- _`- _`- _`-
corticosteroids
Role of corticosteroids with asthma
_`- _`- Reduce inflammation (acute and _`- _`- _`-_`- _`- _`- _`- _`- _`-
chronic) = improved airflow, decreased airway hyper-responsiveness and
_`- _`- _`- _`- _`- _`- _`- _`-
fewer asthma exacerbations, and potentiate the action of beta-adrenergic
_`- _`- _`- _`- _`- _`- _`- _`- _`-
agonist.
1st. line treatment agent for all pt w/persistent asthma (long term controller)
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
_`- Inhaled Corticosteroids
_`- _`-
How often to most patient use inhaled corticosteroids?
_`- _`- _`- _`- _`- _`- _`- _`-_`- _`- Twice daily to
_`- _`- _`-
provide adequate control. _`- _`-
How long can it take to see maximum response of inhaled corticosterioids?
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-_`-
Months _`-
What can a patient do to reduce side effects of inhaled corticosteroids?
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-_`- _`-
Rinse mouth after each use
_`- _`- _`- _`-
A patient has an exacerbation of asthma, what is the most effective
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
treatment to achieve prompt control? Systemic (oral) corticosteroids
_`- _`- _`- _`- _`-_`- _`- _`- _`-
Dose of oral corticosteroids for children during exacerbation of asthma
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`-_`- _`-
1-2 mg/kg/day.
_`- _`-
Can be either a single dose or divided BID.
_`- _`- _`- _`- _`- _`- _`- _`- _`-
_`- _`- _`- _`- _`- _`- _`- _`-
When treating exacerbation of asthma, what is the preferred treatment
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
plan? Alternate days rather than daily treatment.
_`-_`- _`- _`- _`- _`- _`- _`-
Which lung disorder is related to inhaling products of combustion causing
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
serious acute respiratory complications
_`- Smoke Inhalation
_`- _`- _`-_`- _`- _`-
What are the three consequences of smoke inhalation that must be assessed
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
_`- Impaired tissue oxygenation
_`- _`- _`-
Thermal Injury to upper airway _`- _`- _`- _`-
thermal injury to lower airway and lung parenchyma
_`- _`- _`- _`- _`- _`- _`-
What additional medications are required to be given concurrent with
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
systemic corticosteroids to prevent corticosteroid induced bone mineral loss?
_`- _`- _`- _`- _`- _`- _`- _`- _`-_`-
Vitamin D and Calcium
_`- _`- _`- _`-
Should systemic corticosteroids be rapidly discontinued?
_`- _`- _`- _`- _`- _`-_`- No, to prevent
_`- _`- _`- _`-
adrenal insufficiency _`-
What are the 3 characteristics of Asthma
_`- _`- _`- _`- _`- _`- _`-_`- _`- Bronchoconstriction
Airway Inflammation _`-
Reversible airflow limitation _`- _`-
,Which inhaled anticholinergic is best used for asthma pt. w/an intolerance to
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
beta agonist or w/ bronchospasms due to beta blocker meds?
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`-_`- _`-
Ipratropium Bromide _`-
What is the primary tx for pt. w/moderate to severe asthma exacerbations
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
who do not respond promptly and completely to SABA?
_`- _`- _`- Systemic _`- _`- _`- _`- _`- _`-_`- _`- _`-
Corticosteroids
Which bacterial infections predispose exacerbations of asthma
_`- _`- _`- _`- _`- _`- _`-_`- _`- M. _`-
Pneumoniae and C. Pneumoniae _`- _`- _`-
Is routine use of antimicrobials recommended for acute exacerbations of
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
asthma No, only use when likelihood of acute bacterial respiratory tract
_`-_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
infection
Name short acting beta agonist
_`- _`- _`- _`- _`-_`- _`- albuterol, levalbuterol, bitolerol,
_`- _`- _`-
pirbuterol, terbutaline _`-
What does a SABA do?
_`- _`- _`- _`- _`-_`- _`- acts directly by relaxing bronchial smooth
_`- _`- _`- _`- _`- _`-
muscles.
What do long-term pharmacologic agents accomplish for asthma pt.
_`- _`- _`- _`- _`- _`- _`- _`- _`-_`- _`- act _`-
primarily to attenuate airway inflammation.
_`- _`- _`- _`-
Why take long-term pharmacologic agents for asthma daily?
_`- _`- to achieve _`- _`- _`- _`- _`- _`-_`- _`- _`- _`-
and maintain control of persistent asthma independent of symptoms.
_`- _`- _`- _`- _`- _`- _`- _`-
, What does the NAEPP recommend as the cornerstone of daily treatment of
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
persistent asthma? daily anti-inflammatory therapy with inhaled
_`- _`-_`- _`- _`- _`- _`- _`- _`-
corticosteroids
Role of corticosteroids with asthma
_`- _`- Reduce inflammation (acute and _`- _`- _`-_`- _`- _`- _`- _`- _`-
chronic) = improved airflow, decreased airway hyper-responsiveness and
_`- _`- _`- _`- _`- _`- _`- _`-
fewer asthma exacerbations, and potentiate the action of beta-adrenergic
_`- _`- _`- _`- _`- _`- _`- _`- _`-
agonist.
1st. line treatment agent for all pt w/persistent asthma (long term controller)
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
_`- Inhaled Corticosteroids
_`- _`-
How often to most patient use inhaled corticosteroids?
_`- _`- _`- _`- _`- _`- _`- _`-_`- _`- Twice daily to
_`- _`- _`-
provide adequate control. _`- _`-
How long can it take to see maximum response of inhaled corticosterioids?
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-_`-
Months _`-
What can a patient do to reduce side effects of inhaled corticosteroids?
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-_`- _`-
Rinse mouth after each use
_`- _`- _`- _`-
A patient has an exacerbation of asthma, what is the most effective
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
treatment to achieve prompt control? Systemic (oral) corticosteroids
_`- _`- _`- _`- _`-_`- _`- _`- _`-
Dose of oral corticosteroids for children during exacerbation of asthma
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`-_`- _`-
1-2 mg/kg/day.
_`- _`-
Can be either a single dose or divided BID.
_`- _`- _`- _`- _`- _`- _`- _`- _`-
