Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Advance Adult I > Final Resp /PNA/TB/Asthma/TB > Flashcards

Final Resp /PNA/TB/Asthma/TB Flashcards

1
Q

What percent with FEV1 indicates COPD

A

FEV1 <70%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

FEV1 definition

A

How much air you exhale in 1 second

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

FVC1

A

Amount of air you exhale in 1 breath

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

SABA Meds

A

Albuterol/Levalbuterol
Use prn /emergency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Acute Bronchitis

When does acute bronchitis usually come

A

Inflammation of trachea, bronchi, bronchioles.

Cough with NO evidence of pneumonia

Self Limited

Usually comes after a resp infx (URI)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What bacterial infection is common I smokers (Acute Bronchitis)

What type of cough is acute bronchitis and how long it last?
Is there pulmonary consolidation?
S/S?

What lab can you get?

A

H. Influenzae
After URI
Dry, non productive then purulent.
The cough Lasts 1-2 weeks

No pulmonary consolidation

S/S: cough and normal vital signs.

Get CBC (check WBC) , CXR mb if you think PNA.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

ACUTE BRONCHITIS MEDS
Wheezing?
Nightime relief

Who are they c/I

A

Wheezing: Bronchodilator: SABA ALBUTEROL

Night time Relief: Cough suppressant
Antitussive :
Dexomethorphan or Dex/Guafinisen

C/I Parkinson, can’t clear secretions, Preg Cat C, SSRI takers.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What medications do you give if you have chronic bronchitis but then develops acute bronchitis ?

A

Give ABX

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

If an elderly person starts to cough and has had for several weeks, what should you consider?

A

Think Pertussis and get CXR bc maybe PNA.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Defintion of ASTHMA
(RIH)

What part of body is affected

A

1 REVERSIBLE airway obstruction
2 INFLAMMATION
3 Airway Hyperresponsiveness

Because of many triggers, allergy, environmental

The bronchial mucosa

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What happens when mast cells activate in the lungs?

What do mast cells release when activated?

A

Broncho constriction , mast cells release leukotrienes (they the ones that cause broncho constriction)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

S/S of ASTHMA

When time of day is it worse?

A

Wheezing, chest tightness, cough, difficult breathing, cough,

Response to a trigger

Worse at night

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is silent chest in wheezing

A

Severe asthma attack (status asthmaticus. Wheezing absent
Decreased tactile remits
Medical emergency

Intubate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is a diagnostic test for ASTHMA

FVC vs FEV

A

SPIROMETRY

The lower the score, the more constriction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

FVC: Forced Vital Capacity

A

How much air Is blown out

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

FEV: Forced expiratory volume

A

How quick it is done

17
Q

Asthma Severity

Intermittent

PEF

Medication used

STEP 1 NAEPP

A

Exercise induced asthma girlies

PEF > 80%

SABA <2 days/week

Albuterol PRN

18
Q

Asthma Severity

Mild Persistent
How many excaerbations a year
PEF %

Medication used

STEP 2 NAEPP

A

Symptoms >2x/week + Wake up @ night 3-4x/ month

2 exacerbations / year using oral
glucocorticoids

Minor limitation
PEF > 80%

19
Q

Asthma Severity

Moderate Persistent
PEF:

Medication used (used daily)

STEP 3 NAEPP

A

Daily symptoms and night awakening

PEF > 60%

SABA needed Daily

20
Q

Asthma Severity
Severe Persistent
PEF:
Medication used
STEP 4-6 NAEPP

A

Continued symptoms and night time symptoms (day and night) no rest
need SABA multiple times/day

PEF <60%

Severe limitation

21
Q

Step 1 NAEPP

A

Just PRN Albuterol and Levalbuterol

22
Q

Step 2 NAEPP
BBF

A

Daily: Low dose Inhaled Corticosteroid
Beclomethasone (Vanceril)
Budesonide (Pulmicort)
Fluticasone ( Flovent)

PRN: SABA/ICS

23
Q

Step 3 NAEPP
S: B/F
Daily:
PRN:

A

Daily:
Low Dose ICS/Formeterol
Symbicort: Budesonide/ Formeterol

PRN: ICS/Formeterol (MART)

24
Q

Step 4 NAEPP
*asthma specialist

Daily:
PRN:

A

Daily:
Medium ICS/Formoterol (Symbicort)

PRN: ICS/Formeterol (MART)

25
Q

Step 5 NAEPP
*Asthma specialist

A

Daily:
Medium to high dose ICS LABA LAMA

PRN: SABA

26
Q

Step 6 NAEPP
*asthma specialist

A

Daily:
HIGH dose ICS/LABA + OCS
PRN: SABA

27
Q

SABA
Does it have anti inflammatory effect?

AE:

A

Does not have anti inflammatory effect

Not used alone for chronic asthma

AE: Inc HR, Low sugar, low Postassum, Mag

PRN use

28
Q

Inhaled Corticosteroid
What does it prevent
Is this short or long term?

A

Long term steroid therapy , dc inflammation , reduce hyper responsiveness
PREVENT ATTACKS

Meds: -side, -sone

29
Q

LABA

How long does bronchodilator last

What medication you use it with

A

12 hours of bronchodilation

Maintenance, use with corticosteroid

Salmeterol (Serevent
Arformoterol (Brovana)

30
Q

LAMA

How long does bronchodilator last

s/e

M:ASTT

A

12-24 hours

Control lung inflammation and then long term , do not take alone

Anoro Ellipta
Spiriva Respimat
Trilogy Ellipta
Turdoza Presser

s/e: dry mouth, constipation, urinary retention

31
Q

Systemic Glucocorticoids

How long do you take med for ?

A

Severe/Acute Exacerbations
Systemic steroid therapy
Prednisone

Short Term course; 5-10 days

32
Q

What time do you give Leukotriene Modifiers?

Theophylline at what # can cause ventricular arrhythmia ? What is the normal value

A

Give @ night, and it peaks late at night into early AM

> 35 mcg/mL

5-15 Is nl range

33
Q

Omalizumab (Xolair)

BBW FOR WHAT!!!

What is dosing measured with

A

Anaphylaxis after 1st dose so stay ready!

Let patient know,

Based on IgE level and body weight

34
Q

How do patient at home check status of Asthma?

How often should moderate-severe check?

What is normal PEF

A

PEF Meters

Morning , evening, exacerbation, before taking medication

80-100

35
Q

FENO Fractional Exhaled Nitric Oxide Testing, how should you use this test

What # is a diagnostic test

What other diagnosis should you rule out that can cause increased FENO level

A

Helps dx asthma if uncertain and used as conjunction

FENO level > 50 ppb

Allergic Rhinitis and Atopy

Advance Adult I (3 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions