CMN 568 Unit 3 Questions with 100% Verified Correct Answers 2024/2025
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Course
CMN 568
Institution
CMN 568
CMN 568 Unit 3 Questions with 100% Verified Correct Answers 2024/2025
What are the 3 characteristics of Asthma - Correct Answer Bronchoconstriction
Airway Inflammation
Reversible airflow limitation
Which inhaled anticholinergic is best used for asthma pt. w/an intolerance to beta agonist or w...
CMN 568 Unit 3 Questions with 100% Verified
Correct Answers 2024/2025
What are the 3 characteristics of Asthma - Correct Answer 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? - Correct Answer Ipratropium Bromide
What is the primary tx for pt. w/moderate to severe asthma exacerbations who do not respond
promptly and completely to SABA? - Correct Answer Systemic Corticosteroids
Which bacterial infections predispose exacerbations of asthma - Correct Answer M. Pneumoniae and
C. Pneumoniae
Is routine use of antimicrobials recommended for acute exacerbations of asthma - Correct Answer
No, only use when likelihood of acute bacterial respiratory tract infection
Name short acting beta agonist - Correct Answer albuterol, levalbuterol, bitolerol, pirbuterol,
terbutaline
What does a SABA do? - Correct Answer acts directly by relaxing bronchial smooth muscles.
What do long-term pharmacologic agents accomplish for asthma pt. - Correct Answer act primarily to
attenuate airway inflammation.
Why take long-term pharmacologic agents for asthma daily? - Correct Answer 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? -
Correct Answer daily anti-inflammatory therapy with inhaled corticosteroids
,Role of corticosteroids with asthma - Correct Answer 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) - Correct Answer
Inhaled Corticosteroids
How often to most patient use inhaled corticosteroids? - Correct Answer Twice daily to provide
adequate control.
How long can it take to see maximum response of inhaled corticosterioids? - Correct Answer Months
What can a patient do to reduce side effects of inhaled corticosteroids? - Correct Answer Rinse
mouth after each use
A patient has an exacerbation of asthma, what is the most effective treatment to achieve prompt
control? - Correct Answer Systemic (oral) corticosteroids
Dose of oral corticosteroids for children during exacerbation of asthma - Correct Answer 1-2
mg/kg/day.
Can be either a single dose or divided BID.
MAX 60 mg/day
Dose of oral corticosteroids for adults during exacerbation of asthma - Correct Answer 40-60 mg/day
either as a single dose of divided BID
Duration of treatment of oral corticosteroids for asthma exacerbation - Correct Answer 3-10 days or
until symptoms resolve
(no evidence that tapering dose of PO steroids prevents relapse)
When treating exacerbation of asthma, what is the preferred treatment plan? - Correct Answer
Alternate days rather than daily treatment.
, What additional medications are required to be given concurrent with systemic corticosteroids to
prevent corticosteroid induced bone mineral loss? - Correct Answer Vitamin D and Calcium
Should systemic corticosteroids be rapidly discontinued? - Correct Answer No, to prevent adrenal
insufficiency
Name some mediator inhibitors to treat asthma - Correct Answer Cromolyn sodium and nedocromil
What is the mechanism of action of mediator inhibitors? - Correct Answer prevent asthma
symptoms, improve airway function in pt w/mild persistent of exercise induce asthma
When are mediator inhibitors effective? - Correct Answer Before allergen exposure or exercise
Do not relieve asthmatic symptoms once present.
Name the Long acting beta 2 agonist (LABA) for asthma - Correct Answer Salmeterol and Formoteol
How are LABA's delivered? - Correct Answer dry powder
What are LABA's used for - Correct Answer Long term prevention of asthma symptoms
Nocturnal symptoms
Prevention of exercise induced bronchospasm
Should LABA be used as monotherapy - Correct Answer NO
linked to fatal asthma when used alone
has no anti-inflammatory effects- so use w/a corticosteroid.
What does LABA + low or medium dose of corticosteroids given together provide for the patient. -
Correct Answer The equivalent to what would be if doubled the inhaled corticosteroid.
Name the action of anticholinergic agents, short acting muscarinic agents (SAMA) and long acting
muscarinic agents (LAMA) - Correct Answer Reverse vagally medicated bronchospasm but NOT
allergen or exercise induced broncospasms
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