Exam (elaborations)
CMN 568 Final Exam With Verified Solutions
- Course
- Institution
CMN 568 Final Exam With Verified Solutions ...
[Show more]
Seller
Follow
Content preview
CMN 568 Final Exam With Verified Solutions 2024-2025Std bismuth quadruple therapy - Answer 14 day course
PPI BID
Bismuth subsalicylate
Tetracycline
Metronidazole
3 Components of Asthma - Answer Bronchoconstriction
Airway inflammation (wall thickening + secretions)
REVERSIBLE airflow limitation
Predisposing factors for Asthma - Answer Genetic predisposition: family hx of
allergies/asthma
Obesity - now recognized as a risk factor
Atopy - strongest predictor of asthma, defined as the genetic tendency to develop
allergic diseases such as allergic rhinitis, asthma and atopic dermatitis
Tobacco exposure
RSV and other viruses during infancy
Asthma Triggers - Answer Common allergens: dust mites, cockroaches, animal dander,
seasonal pollens
Exposure to cigarette smoke or air pollution
RUI, rhinosinusitis, post nasal drip, GERD
Medications: ASA, NSAIDS, possibly acetaminophen
Stress, exposure to cold air
Exercise
,Symptoms of Asthma - Answer Episodic wheezing
Recurrent cough
Chest tightness
Dyspnea and SOB
Signs of Asthma - Answer Prolonged expiratory phase
Wheeze
Accessory muscle use (nasal flaring, retractions)
In severe asthma, there may be such a significant constriction of airflow that wheeze
may not be heard, and breath sounds are decreased.
Asthma - Diagnostics - Answer < age 5- diagnosis based on clinical judgment and
assessment of symptoms (unable to cooperate with PFT's)
Pulmonary function tests/spirometry
CXR not usually required unless r/o pneumonia during exacerbation
Allergy testing may be utilized to identify triggers
Pulmonary Function Tests - Answer FEV1 - Forced expiratory volume in 1 second
FVC - Forced vital capacity
FEV1/FVC ratio- Compared to reference norms for age, weight and sex/gender
Disease reversibility is Documented by an increase in FEV1 after administration of
bronchodilator
3 Steps to asthma Management - Response 1. Assess asthma severity
2. Begin treatment in a stepwise fashion
3. Monitor control and adjust treatment as needed
Classify Asthma Severity - Response Designation is based on most severe symptoms
Nocturnal awakening is less tolerated for assessment in young children
,Stepwise Approach - Answer If patient is on step 5-6, should be seen by a pulmonogist
Asthma lifestyle modifications - Answer No Smoking!
Pets, keep out of bedroom at the minimum
Humidity - keep indoor humidity at <50%
Keep windows closed, use air conditioner to filter air
Eliminate carpeting in bedroom if possible
Limit stuff toys, wash weekly in hot water
Encase pillows and mattress in dust-mite proof covering, wash bedding weekly in hot
water
Control indoor pests such as cockroaches
Avoid outdoor activities when pollen is high
Avoid beta blockers and sulfite containing foods (hot dogs, bologna)
Get annual flu vaccine
Theophylline - Answer Used rarely: requires blood draws for levels and has many side
effects and drug interactions
Peds inhaled corticosteroids - Answer Use lowest dose possible, potentially causes
growth impairment
Asthma - Tx of acute exacerbation - Answer SABA- repeat Q20min x 3
May need to continue SABA q3-4hrs for 24-48 hours
Continue/adjust regular control medications
Short course of oral corticosteroids
Assess adherence to medication regimen
Assess immunization status
, Asthma - when to refer to hospital - Answer Poor response to SABA after to tx 20 min
apart
Hypoxia - O2 sat <95% on RA
Marked breathlessness - inability to speak in sentences
Use of accessory muscles
Changes in alertness
PEF of <50% of personal best
Asthma - Oral corticosteroid dosing - Answer Children - 1-2mg/kg/day
Adults - 40-60mg/day
May be given daily or BID in divided doses.
Duration 3-10 days or until symptoms resolve
Poor compliance with meds = daily
Significant side effects = BID
Don't take dose right before bed
No need to taper if less than 7 days
SABA - Answer Short acting Beta Agonist
Albuterol
Pirbuterol
Levalbuterol
Adverse effects - well tolerated, tachycardia, angina, and tremor.
SAMA - Answer Short acting muscarinic antagonist
Ipratropium (atrovent)
Adverse effects - dry mouth, irritation of the pharynx. May raise intraocular pressure in
glaucoma.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Chrisyuis. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79789 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now