2022 new update exam with 250 trial questions and answers for pharmacology ii respiratory
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Nova Southeastern University
PHARMACOLOGY 2
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2022 NEW UPDATE EXAM WITH 250+ TRIAL QUESTIONS AND
ANSWERS FOR PHARMACOLOGY II (RESPIRATORY)
What is used to test pulmonary function? - Spirometry
What is spirometry (PFT) used for? - -eval obstructive/restrictive diseases
-b4 surgery
-weaning from a ventilator
-documenting the effectiveness of therapeutic intervention
What is a moderate FEV1 result? - 50-65% predicted
What is a severe FEV1 result? - <50% predicted
What is a normal FEV1/FVC ratio? - 80%
What FEV1/FVC ratio indicates obstructive pulmonary disease? - <70%
,What is a normal PaCO2 level? - 35-45
What is a normal bicarb ABG? - 22-26
What are the limitations of pulse oximetry? - does NOT substitute for an ABG
What are the nursing consideration for pulse oximetry? - 1. nail polish
2. bradycardia
3. anemia
4. circulation issues
What are the nursing considerations for a bronchoscopy? - 1. Prep for conscious
sedation
-NPO
-PIV
-sedation assessment
-remove dentures
2. patient education
What are the nursing considerations for a thoracentesis? - 1. sedation prep
2. patient education
3. assess dressing
4. monitor for SOB
What is the purpose of O2 therapy? - 1. provide adequate transport of O2 in blood
2. decrease work of breathing
3. reduce stress on myocardium
4. treat hypoxia
,What are the complications r/t O2 therapy? - 1. suppressed resp. drive
2. O2 toxicity
3. Fire
-O2 is not flammable-- makes other things more combustible
What are the nursing considerations r/t O2 therapy? - 1. need order for anything >2L
2. monitor O2
3. comfort
-humidification
4. mobility constraints
5. change tubing, mask, humidity bottle
6. oral care
-saliva substitute
What causes pneumonia? - 1. viral
2. bacterial
3. aspiration
What are the symptoms of pneumonia? - 1. cough, dyspnea, SOB, chest pain, pyrexia
2. ELDERLY-- CONFUSION, MEMORY ISSUES
3. auscultation-- diffuse cracles
How is pneumonia diagnosed? - 1. CXR
2. sputum
What are the classifications of pneumonia? - 1. CAP
2. HAP/HCAP
, 3. VAP
What are the two types of pneumonia vaccine? - 1. PCV13
2. PPSV23
What is the pneumonia vaccine purpose? - -prevent certain strains of bacterial and viral
-given annually w/flu shot
- recommended for high risk ppl
-similar risks as flu shot
-90% effective for serotypes included in vaccine
How is pneumonia managed medically? - 1. supportive
2. antibiotic therapy
How is pneumonia managed from a nursing standpoint? - 1. oxygen
2. sputum management
3. nutrition
4. hydration
5. activity
How is antibiotic therapy administered for pneumonia? - PO v. IV
What is mild antibiotic therapy? - 1. PO Macrolid ("mycins", AZITHROMYCIN,
erythromycin)
2. PO AUGMENTIN (penicillin abx)
What is moderate to severe antibiotic therapy? - 1. IV Cephalosporin ("cef" prefix-
CEFTRIAZONE)c or s macrolide
2. IV fluoroquinolone ("floxacins", LEVOFLOXACIN, moxifloxacin)
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