Ch 31: Asthma

Question 1

Common environmental factors that cause asthma symptoms

Answer 1

vary from person to person and include outdoor allergens such as pollen and molds, indoor allergens like dust, dander and molds, smoke and occupational environments, cold weather

Question 2

What meds can precipitate exacerbation of asthma?

Answer 2

Aspirin and other nonsteroidal NSAID can precipitate exacerbation.

Question 3

What are clinical manifestations of asthma? (4)

Answer 3

dyspnea, wheezing, chest tightness, cough and sputum productions

Question 4

Acute or severe asthma- does not respond to ???

Answer 4

bronchodilators and is characterized by severe respiratory distress called status asthmaticus. This is life threatening requiring emergency help.

Question 5

2 generic names for Albuterol?

Answer 5

Proventil, Ventolin

Prevents asthma attacks but not acute asthma attacks.

Question 6

What is albuterol used for?

Answer 6

to treat or prevent bronchospasm in people with asthma or reversible obstructive airway disease

Question 7

When do you give epinephrine (Adrenaline)?

Answer 7

If you hear inspiratory stridor

Question 8

When do you NOT give epinephrine (Adrenaline)?

Answer 8

If the patient has V-TAC

Question 9

What drugs are Most useful in the long-term management of asthma and other conditions producing bronchoconstriction (chronic bronchitis, emphysema)

Answer 9

Anticholinergics

Question 10

What are two drugs in anticholinergics class?

Answer 10

Two drugs in class: Ipratropium and tiotropium (Spiriva)-

Question 11

What drug is ordered for treatment of many inflammatory conditions. Long term
Suppresses airway inflammation, produces beneficial effects including decreased mucus secretion, decreased edema of airway mucosa, and repair of damage epithelium

Answer 11

Corticosteroids

Question 12

What is a negative side effect of corticosterioids?

Answer 12

May stop someone from producing own cortisol

Question 13

What are Leukotriences?

Answer 13

are fatty compounds produced by immune system after trauma, infection and inflammation

Question 14

What do Leukotriences do?

Answer 14

hey can cause sustained construction of bronchioles and immediate hypersensitivity, increase mucus secretion and mucosal edema in respiratory tract

Question 15

What Leukotrience Modifier is effective in those with asthma and do not respond to other therapies?

Answer 15

Montelukast (singular)-

Question 16

What are Adjuvant Medications?

Answer 16

Mast cell stabilizers
Cromolyn- stabilizes mast cells and prevents the release of bronchoconstrictive inflammatory substances.
Nasal spray
Administration is by inhalation, Cromolyn is available in MDI

Question 17

What do Adjuvant Medications do and not do?

Answer 17

Prevents asthma attacks but not acute asthma attacks.

Question 18

What is the inhaled onset of albuterol?

Answer 18

5-15mins