MDC III exam 2 pt 2 || Questions and 100% Accurate
Answers.
What precautions are being used in patients with TB correct answers Negative pressure room,
airborne (the use of N95)
What are some medications that is prescribed to these patients? correct answers Antimicrobials-
Isoniazid, rifampin, pyrazinamide and ethambutol
How long are these patients on these (antimicrobials) medications? correct answers long term
use: 6 to 9 mo
What education should be provided to these patients since they are on long term antibiotics
(ABT)? correct answers no ETOH, medication compliance (do not skip a dose)
How are going to know that they are taking all of there dosages? What are we going to
encourage them to do? correct answers Follow-up appointments and going to clinics
How do we diagnosis TB? correct answers Sputum culture (provides a defient diagnosis)
What does the PPD show? correct answers It shows that someone has been exposed to TB or
dormant disease
What does the medications do to the body? correct answers Increase the risk for infection,
Hepatic function (educate the patient on how to keep the liver healthy and know the signs and
symptoms)
What is asthma? correct answers Chronic intermittent airway obstruction caused by
inflammation of the airway tissues that results in bronchoconstriction
Does asthma cause permanent damage? correct answers No, it is reversible but is it chronic
A patient comes into the ER and has asthma. You listen to their lung sounds and there is lung
sounds, later on you listen and the lung sounds have disappeared. What does that mean? What do
you need to do? correct answers It is emergent because there is a lack of lung sounds (no air
movement). Make sure to monitor airway and keeping it patent.
What can exacerbate asthma? correct answers Allergies, exercise, pollen, smoking, dust, smoke,
pet dander, household chemicals, bacteria, viruses, mold, stress
What are some medications that can be given to these patients? asthma correct answers Montek
(montair?), Bronchodilators, Corticosteroids, Montelukast (Singular)
What is a beta-agonist? correct answers A bronchodilator medicine that opens the airways by
relaxing the muscles around the airways that may tighten during an asthma attack or in COPD.
, The side effects of beta-2 agonists include anxiety, tremor, palpitations or fast heart rate, and low
blood potassium.
How do we take the medications, specially inhaled? correct answers Take them 5 minutes apart
with albuterol first
What education needs to be provided after taking fluticasone? correct answers rinse mouth
Why do we rinse correct answers Because it can cause thrush/candida
What is the overall goal of these patients who have COPD? correct answers Improve gas
exchange
is emphysema and COPD, causing for permanent damage? correct answers yes, it is permanent
to the alveoli. We can treat their symptoms but there is already damage to the lungs
What happens to the patient's CO2 levels in COPD patients? correct answers It increases while
the O2 levels decrease?
What do these patients look like? How do they present? COPD correct answers Tripod barrel
chest, barrel chest, the use of accessory muscles, clubbing of the fingers, SOB, cyanosis
COPD pt, How do they feel? What can you do? correct answers Bad, tired and anxious. Educate
the use of breathing/ relaxation techniques
How does a patient present with cystic fibrosis? correct answers Foul smelling/ fatty stools,
smelly person, SOB, thick secretions (increased sputum), positive sweat test (this is how they are
diagnosed) , increased sodium content in urine and sweat
What are some side effects of long-term steroid use? correct answers Decrease immunity, weight
gain, infection, buffalo hump, thin skin, high blood glucose levels, calcium deficit (educate them
to increase calcium intake), weak bones
Treatment options if it is in the sputum? correct answers Chest physiotherapy, and administer
fluids to thin the secretions
What is pulmonary fibrosis correct answers Hardening of the vessels
What is the pathophysiology of the pulmonary fibrosis? correct answers Pulmonary HTN, and a
prognosis of less than 5 years
What is the biggest concern with neck cancer correct answers *airway, breathing*
How will the patient present with neck cancer? correct answers Weight loss, difficulty
swallowing, hoarseness, change in eating habits, lesions that didn't heal
Answers.
What precautions are being used in patients with TB correct answers Negative pressure room,
airborne (the use of N95)
What are some medications that is prescribed to these patients? correct answers Antimicrobials-
Isoniazid, rifampin, pyrazinamide and ethambutol
How long are these patients on these (antimicrobials) medications? correct answers long term
use: 6 to 9 mo
What education should be provided to these patients since they are on long term antibiotics
(ABT)? correct answers no ETOH, medication compliance (do not skip a dose)
How are going to know that they are taking all of there dosages? What are we going to
encourage them to do? correct answers Follow-up appointments and going to clinics
How do we diagnosis TB? correct answers Sputum culture (provides a defient diagnosis)
What does the PPD show? correct answers It shows that someone has been exposed to TB or
dormant disease
What does the medications do to the body? correct answers Increase the risk for infection,
Hepatic function (educate the patient on how to keep the liver healthy and know the signs and
symptoms)
What is asthma? correct answers Chronic intermittent airway obstruction caused by
inflammation of the airway tissues that results in bronchoconstriction
Does asthma cause permanent damage? correct answers No, it is reversible but is it chronic
A patient comes into the ER and has asthma. You listen to their lung sounds and there is lung
sounds, later on you listen and the lung sounds have disappeared. What does that mean? What do
you need to do? correct answers It is emergent because there is a lack of lung sounds (no air
movement). Make sure to monitor airway and keeping it patent.
What can exacerbate asthma? correct answers Allergies, exercise, pollen, smoking, dust, smoke,
pet dander, household chemicals, bacteria, viruses, mold, stress
What are some medications that can be given to these patients? asthma correct answers Montek
(montair?), Bronchodilators, Corticosteroids, Montelukast (Singular)
What is a beta-agonist? correct answers A bronchodilator medicine that opens the airways by
relaxing the muscles around the airways that may tighten during an asthma attack or in COPD.
, The side effects of beta-2 agonists include anxiety, tremor, palpitations or fast heart rate, and low
blood potassium.
How do we take the medications, specially inhaled? correct answers Take them 5 minutes apart
with albuterol first
What education needs to be provided after taking fluticasone? correct answers rinse mouth
Why do we rinse correct answers Because it can cause thrush/candida
What is the overall goal of these patients who have COPD? correct answers Improve gas
exchange
is emphysema and COPD, causing for permanent damage? correct answers yes, it is permanent
to the alveoli. We can treat their symptoms but there is already damage to the lungs
What happens to the patient's CO2 levels in COPD patients? correct answers It increases while
the O2 levels decrease?
What do these patients look like? How do they present? COPD correct answers Tripod barrel
chest, barrel chest, the use of accessory muscles, clubbing of the fingers, SOB, cyanosis
COPD pt, How do they feel? What can you do? correct answers Bad, tired and anxious. Educate
the use of breathing/ relaxation techniques
How does a patient present with cystic fibrosis? correct answers Foul smelling/ fatty stools,
smelly person, SOB, thick secretions (increased sputum), positive sweat test (this is how they are
diagnosed) , increased sodium content in urine and sweat
What are some side effects of long-term steroid use? correct answers Decrease immunity, weight
gain, infection, buffalo hump, thin skin, high blood glucose levels, calcium deficit (educate them
to increase calcium intake), weak bones
Treatment options if it is in the sputum? correct answers Chest physiotherapy, and administer
fluids to thin the secretions
What is pulmonary fibrosis correct answers Hardening of the vessels
What is the pathophysiology of the pulmonary fibrosis? correct answers Pulmonary HTN, and a
prognosis of less than 5 years
What is the biggest concern with neck cancer correct answers *airway, breathing*
How will the patient present with neck cancer? correct answers Weight loss, difficulty
swallowing, hoarseness, change in eating habits, lesions that didn't heal
