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CMN 568 - Exam 3 Questions And Accurate Answers Graded A+
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CMN 568 - Exam 3 Questions And Accurate AnswersGraded A+
Atopy
Strongest predictor of asthma
- genetic tendency to devleop allergic disease
Predisposing factors to asthma
- genetic predisposition: family hx or allergies, asthma
- obesity: 2nd leading cause
- tobacco exposure: 2nd hand smoke in kids
- RSV or other viruses during infancy
- Atopy: strongest predictor of asthma
Symptoms of asthma
- develop IMMEDIATELY-immediate response or 4-6 hours after exposure-late response
T/F: asthma more common in males (<14 yr) females as adults
True
Asthma characteristics
bronchoconstriction, airway inflammation, reversible airflow limitation
What is IgE in asthma?
Central role in allergic asthma
What is IL-5 in asthma?
Promotes eosinophilic inflammation
S/S of asthma
- Wheezing episodically
,- Breathlessness
- Chest tightness
- Cough
- Sputum production excessive/common
- May occur spontaneously or with exacerbation by triggers
- Symptoms worse at night (3-4am)
Exercise-induced bronchoconstriction
Exertional Dyspnea Occurs during exercise, or within 3 minutes after it ends; peaks
within 10-15 minutes, resolves by 60 minutes.
Characteristics of SEVERE asthma attack
*the only diagnostic clue on asucultation is globally diminished breath sounds (absent
wheeze) and use of accessory muscles of respiration (nasal flaring and retractions)
What medication should be avoided with asthma?
Beta-blockers
What type of food should be avoided with asthma?
Sulfite containing foods
What is the AIRQ?
Asthma Impairment and Risk Questionnaire
- for pt's >12 years
- 10 yes or no questions that evaluate symptoms, social and physical activities,
exacerbations, related healthcare resource utilization, perception of asthma control and
use of rescue (reliever) medications
SCORING:
0-1: well-controlled
2-4: not well-controlled
5-10: very poorly controlled
What is the ACT?
Asthma Control Test
,- provides you and your pt with an assessment of their asthma regarding whether it is
well-controlled or not
SCORING:
>20: well-controlled
16-19: not well-controlled
<15: very poorly controlled
What is a SABA?
Short acting beta agonist
- albuterol
levalbuterol
bitolterol
purb uterol
terbutaline
Most effective bronchodilator(s)
Short-Acting inhaled B-Agonists (SABA) (Such as proventil/Albuterol)
Primary treatment for those with mod-severe asthma exacerbation who do not respond
prompty or completely to SABA
Corticosteroids
1st line of treatment for patients with persistend asthma
Inhaled corticosteroids
What mild bronchodilator is used for asthmatic patients?
Phosphodiesterase inhibitor: theophylline
MOA: anti-inflammatory and immunodilator properties. Enhances mucociliary clearance
and strengthens diaphragmatic contractility
MONITOR serum concentrations due to narrow therapeutic range
, T/F: LABAs should be used as MONOTHERAPY
FALSE. LABAs should NOT be used as monotherapy. Theya re linked to fatal asthma
when used alone; have o anti-inflammatory effects, thus need to be used with
cortocosteroids
A five-year-old child wheezes at least twice a week with physical exercise. According to
the parent, there is a dry night cough several times a week. The child's asthma falls into
the category of:
a. Mild persistent
b. Moderate intermittent
c. Moderate persistent
d. Severe persistent
e. none of the above
Severe persistent
What would be an appropriate medication regimen to start on an 11 year old patient that
you have diagnosed as having moderate persistent asthma and has not yet been on
medication for asthma.
a. prn SABA
b. prn SABA and low dose ICS + LABA
c. prn SABA and oral LTRA
d. low dose ICS
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