Lower Respiratory Tract Infection Asthma

Question 1

air flow obstruction creates what sound

Answer 1

wheezing

Question 2

production of what can effect ventilation

Answer 2

mucus

Question 3

is asthma intermittent

Answer 3

yes

Question 4

is asthma irreversible or reversible

Answer 4

reversible

Question 5

does asthma affect the alveoli

Answer 5

no
only the airway

Question 6

what is the difference between asthma and COPD

Answer 6

COPD is irreversible and effects the alveoli

Question 7

how will this patient present who is in an attack

Answer 7

wheezing
sputum production
shortness of breath
increase respiratory rate
difficulty breathing
use of accessory muscle
anxiety
some cannot lay flat

Question 8

is this normally diagnosed early or late in life

Answer 8

early

Question 9

how will this patients ABG look
- oxygen

Answer 9

hypoxemia low O2

Question 10

the worse they sound….

Answer 10

the better they are
- still moving air in and out

Question 11

what is an ominous sign

Answer 11

silent chest
- no longer moving air

Question 12

how will this patients ABG look
- carbon

Answer 12

low
they would have respiratory alkalosis because of the increase RR

Question 13

what do we not want to see with this patients ABG

Answer 13

respiratory acidosis
this means the patient is not ventilating
silent chest

Question 14

what do we want to know about their history

Answer 14

trigger

Question 15

who might have barrel chest in asthma

Answer 15

asthma that is chronic and not managed

Question 16

peak flow meter

Answer 16

measures air flow

Question 17

how often Is a peak flow meter used

Answer 17

2 times daily

Question 18

is the drug therapy for this specific of nonspecific

Answer 18

specific

Question 19

if a patient is in the red zone of the peak flow meter what do they need to do

Answer 19

use the rescue inhaler

Question 20

what are the major pharm treatments for this

Answer 20

beta 2 agonists (bronchodilators)

Question 21

short acting b2 agonists

Answer 21

rescue

Question 22

long acting b2 agnostic

Answer 22

preventative

Question 23

short acting B2

Answer 23

albuterol
levalbuterol

Question 24

long acting b2

Answer 24

salmeterol
fomoterol
arformoterol

Question 25

what do steroids do systemically

Answer 25

increase BS
decrease immune system
can cause thrush

Question 26

what do we need to specifically teach this patient about use of steroids

Answer 26

must taper

Question 27

steroids

Answer 27

fluticasone
triamcinolone
budesonide
fluticasone

Question 28

is exercise and acitivity recommended

Answer 28

yes
it can be beneficial

Question 29

status asthmatics

Answer 29

severe
life threatening
acute episode

Question 30

does status asthmatics respond to normal/common therapy

Answer 30

no

Question 31

if status asthmatics is not reversed it can lead to

Answer 31

pneumothorax
cardiac/respiratory arrest

Question 32

status asthmatics
how to treat

Answer 32

ER

Question 33

status asthmatics
- wheezes or silent chest

Answer 33

silent chest

Question 34

status asthmatics might have to become

Answer 34

intubated

Question 35

is status asthmatics a medical emergency

Answer 35

yes