Asthma/RSV

Question 1

In asthma and RSV what kind of problem is this bc O2 can’t get in from blocked airway?

Answer 1

Ventilation

Question 2

Children, genetic components, exposure to RSV early in life, air pollution, smoker @ home, obesity, premature birth, and not being breastfed are all what?

Answer 2

Risk factors of asthma

Question 3

Wet cough, fever, copious amounts of green mucus, crackles/wheezes, periods of apnea and less play are all s/s of what?

Answer 3

RSV/Bronchiolitis

Question 4

Working @ breathing, tachypnea, nasal flaring, retractions, wheezing, anxiety, inability to complete a full sentence, tachycardia, and being pale are all what?

Answer 4

S/S of ventilation problem

Question 5

Dry cough, nocturnal awakenings, can’t keep up w/ everyday activities, chest tightness, and less play are s/s of what?

Answer 5

Asthma

Question 6

Meds for asthma?

Answer 6

Anti-inflammatory, beta-agonists (bronchodilators), corticosteroids, anti-allergy, Mg Sulfate, and PPI’s

Question 7

Meds for RSV/bronchiolitis?

Answer 7

Adrenergic stimulants (bronchodilators), antipyretics, and anti-inflammatory

Question 8

Prednisone, Flovent are what type of meds?

Answer 8

Anti-inflammatory for asthma

Question 9

Albuterol is what type of med?

Answer 9

Beta-agonist (Bronchodilator) “rescue inhaler”

Question 10

Zyrtec is what type of med?

Answer 10

Anti-allergy for asthma

Question 11

Prilosec is what type of med?

Answer 11

Proton pump inhibitor (PPI) for overweight asthmatics

Question 12

Anti-inflammatory’s do what in asthmatics?

Answer 12

Prevent an attack

Question 13

Anti-allergies do what in asthmatics?

Answer 13

Prevent triggers

Question 14

Mg Sulfate for asthmatics does what?

Answer 14

Smooth muscle relaxant to dilate bronchioles

Question 15

Beta-Agonists do what in asthmatics?

Answer 15

Dilates/relaxes smooth muscle in bronchiol

Question 16

PPI’s do what in asthmatics?

Answer 16

Prevent refluxes if overweight

Question 17

Tylenol is what type of med?

Answer 17

Antipyretic for RSV

Question 18

Inhaled corticosteroids have what kind of side effects vs. systemic steroids?

Answer 18

Decreased

Question 19

Long term dosing of inhaled corticosteroids can result in what?

Answer 19

Adrenal suppression, slowing growth velocity

Question 20

Short-acting Beta Agonists (SABA) have a what type of onset and duration?

Answer 20

Rapid; short

Question 21

SABA also stimulates what?

Answer 21

Mucociliary clearance

Question 22

What are some side effects of SABA’s?

Answer 22

Tachycardia and jitterness

Question 23

Everyone in asthmatic child’s care should have what?

Answer 23

Asthma action plan

Question 24

Action plan: When I’m in ____ zone, I feel _____. I still have to use my _____ inhaler. I also have to watch out for _____.

Answer 24

Green; healthy; controller; triggers

Question 25

Action plan: When I'm in _____ zone, I'm starting to have a _____. I might _____ or have other symptoms. Then I use my _____ inhaler and feel better.

Answer 25

Yellow; flare-up; wheeze; rescue

Question 26

Action plan: When I'm in my _____ zone breathing is very _____. I need to get ____ immediately.

Answer 26

Red; hard; help-ER/911

Question 27

In green zone if asthma occurs w/ exercise what should be the med regimen?

Answer 27

Albuterol 2 puffs 10-15min prior to exercise

Question 28

In yellow zone what's the med regimen for wheezing, chest tightness, or persistent cough?

Answer 28

Albuterol 2 puffs q4h PRN; albuterol nebulizer solution 1 vial q4h PRN

Question 29

If a child is at a younger age and on an inhaler what is needed that is not needed in older children/adolescence?

Answer 29

Spacer

Question 30

In red zone what's the med regimen?

Answer 30

Albuterol 4 puffs immediately, albuterol nebulizer solution 1 unit immediately followed by another unit after 1st unit is done

Question 31

What's a persistent inflammation from a hypersensitivity immune response that's chronic but has acute episodes from a narrowed airway/bronchoconstriction?

Answer 31

Asthma

Question 32

What is a virus that effects the squamous epithelium that clogs airways causing mucousal secretions and partial airway obstruction?

Answer 32

RSV/Bonchiolitis

Question 33

Allergens: pollens, weeds, molds, dust, animal dander, resp. tract infection, exercise, inhaled irritants, and emotional upsets are all what?

Answer 33

Types of triggers for asthma

Question 34

An asthma attack can develop how many hours after exposure?

Answer 34

4-12hrs

Question 35

Blood flow being reduced, which affects gas exchange can lead to what in asthma?

Answer 35

Hypoxemia

Question 36

An allergic asthma is an alteration in which hypersensitivity response?

Answer 36

Type I

Question 37

Children under what age use the diaphragm to breath bc intercostal muscles are immature?

Answer 37

6y/o

Question 38

Peak expiratory flow reading (PEFR), scratch/patch/IgE testing, CBC, ABG's, O2 sat., CXR, and pulmonary function are all what?

Answer 38

Diagnostic tests for asthma

Question 39

-terol/-enol meds are?

Answer 39

Adrenergic stimulants/Beta agonists-Bronchodilators

Question 40

-phylline meds are?

Answer 40

Methylxanthines

Question 41

-ate meds are?

Answer 41

Corticosteroids

Question 42

What are some important interventions when treating a pt. w/ asthma/RSV?

Answer 42

Elevate HOB, take pulse ox/vitals, auscultate lungs, admin O2, admin albuterol therapy (if in distress) or other meds, relieve anxiety-low stimuli room, *suction if RSV

Question 43

RSV is a highly contagious resp. infection, what kind of precautions should be taken?

Answer 43

Isolation-droplet/airborne

Question 44

RSV is common in?

Answer 44

Children less than 2y/o

Question 45

When does RSV occur?

Answer 45

3-4 days after exposure to virus

Question 46

What is a physical symptom in both asthma/RSV that is a sign of serious distress?

Answer 46

Retractions

Question 47

Immunofuorescent, viral cell culture, CXR, ABG's, patchy atelectasis are all what?

Answer 47

Diagnostic tests for RSV

Question 48

What med blocks the parasympathetic input to bronchial smooth muscle?

Answer 48

Anticholinergic

Question 49

What is important to the diet of a pt. w/ RSV?

Answer 49

Increase fluids to thin out secretions & small frequent meals to prevent fatigue

Question 50

What level of asthma attack is this: SOB, mild exertion, discomfort when in supine, talks in phrases and has a moderate increase in respirations?

Answer 50

Mild

Question 51

What level of asthma attack is this: SOB w/ exertion, ability to lie supine, can talk in full sentences and has a slight increase in respirations?

Answer 51

Minimal

Question 52

What level of asthma attack is this: SOB @ rest, inability to lie supine, talks in single words and pt. is tachypneic?

Answer 52

Moderate

Question 53

What level of asthma attack is this: SOB @ rest, inability to lie supine, fatigue, can't talk and is bradypneic?

Answer 53

Severe

Question 54

If a pt has constant symptoms w/ limitations to physical activity how bad is their asthma?

Answer 54

Severe