Asthma

Question 1

What is Asthma ?

Answer 1

Chronic lung disease that causes narrowing and inflammation of airways specifically smaller airways (bronchi+bronchioles)

Question 2

امتى بتحصل ال asthma attack

Answer 2

When patient triggers

Question 3

طريقة التنفس الطبيعية

Answer 3

في عملية الشهيق بنوخذ اكسجين وفي عملية الزفير بنطلع ثاني اكسيد الكربون

Question 4

لو ضل ثاني اكسيد الكربون في الدم شو ممكن يصير

Answer 4

بيخلي الدم حمضي

Question 5

What surrounds the bronchi and bronchiole?

Answer 5

Smooth muscle

Question 6

شو بتعمل الbronchodilator

Answer 6

بتعمل dilation لل smooth muscle الي موجودة بال bronchi و ال bronchioles

Question 7

شرح asthma attack

Answer 7

اول شي بيصيروا triggered بعدين بتبلش الasthma بعدين الsmooth muscle بيصيرلها constrict وساعيتها المريض بيبلش يحس ب chest tightness و dyspnea

Question 8

Dyspnea يعني

Answer 8

Shortness of breathing

Question 9

شو بيكون موجود داخل ال bronchi وال bronchioles

Answer 9

Mucosa lining (goblet cells)

Question 10

بعد لما mucosa تعبي ال goblet cell بيبلش المريض شو يصير فيه

Answer 10

Cough and wheezing

Question 11

في ايشي بيمييز مريض الasthma

Answer 11

لا يمكنهم الزفير بشكل كامل

Question 12

شو بيصير بمريض الasthma لما يقل الاكسجين ويزيد ثاني اكسيد الكربون

Answer 12

Blood acidotic(respiratory acidosis)

Question 13

Causes of asthma itself

Answer 13

Known

Maybe genetics factor or environmental

Question 14

Early signs and symptoms for asthma?

Answer 14

1-Shortness of breath (easily fatigue with physical activity)
2-frequent cough (night)

Question 15

افضل جهاز لمريض الasthma علشان يعرف حالتو منيح هو ؟

Answer 15

Peak flow meter

Question 16

Active signs and symptoms for asthma ??

Answer 16

Chest tightness 
Wheezing 
Coughing 
Dyspnea 
Increase RR

Question 17

Emergency signs and symptoms for asthma patient

Answer 17

1-Patient will not able to speak with nurse
2- patient have chest retraction
3- cyanosis lips +skin
4- sweating

Question 18

What is chest retraction ?

Answer 18

Stomach will be sucked in

The ribs will be pulled out

Question 19

What do when see 
1-Patient will not able to speak with nurse 
2- patient have chest retraction 
3- cyanosis lips +skin
4- sweating 
The treatment will be

Answer 19

Mechanical ventilation

IV corticosteroids

Question 20

Nursing interventions for presenting asthma attack

Answer 20

Vital signs 
Keep patient calm
High fowlers
Bronchodilator 
O2 (95-100%)
Assess lung
Assess for cyanosis +retraction 
Assess peak flow meter readings

Question 21

Bronchodilator beta agonist :inhaled - short-acting like what?

Answer 21

Albuterol also known as (Salbutamol)سالبوتامول

Fast relief

Question 22

ايشي ننتبهلوا بالنسبة لدوا albuterol

Answer 22

Not for daily treatment

Question 23

لا يستخدم الalbuterol اكتر من

Answer 23

مرتين بالاسبوع

Question 24

Bronchodilator beta agonist :Long-acting like what?

Answer 24

Salmeterol + symbicort

Question 25

Bronchodilator beta agonist :Long-acting don't use for

Answer 25

Not for acute attack

Question 26

Side effects for beta agonist

Answer 26

``` Increase heart rate Jittery nerves (اعصاب متوترة) ```

Question 27

لو عندك مريض asthma عندوا ارتفاع في نبضات القلب شو بعطيه دوا

Answer 27

بعطيه anticholinergic bronchodilator وما بعطيه الbeta agonist علشان بترفع نبضات القلب

Question 28

Bronchodilator anticholinergic inhaled - short-acting like what

Answer 28

Ipratropium

Question 29

امتى بتعطى ال Bronchodilator anticholinergic inhaled - short-acting

Answer 29

Used when patient can't tolerate beta agonist

Question 30

Bronchodilator anticholinergic - long-acting like what

Answer 30

``` Tiotropium Side effects (dry mouth) ```

Question 31

Anti-inflammation corticosteroids: inhaled

Answer 31

.

Question 32

لو في order انو تعطي المريض bronchodilator inhaled و تعطيه كمان corticosteroids inhaled مين بتعطي الاول

Answer 32

اول شي بعطيه bronchodilator بعدين بستنى ٥ دقايق بعدين بعطيه corticosteroids

Question 33

Corticosteroids long acting can use for acute asthma?

Answer 33

Long acting is not for acute asthma

Question 34

Corticosteroids common drug is

Answer 34

Fluticasone Budesonide(بوديزونيد) Betamethasone(بيتاميثازون)