NURS 5461 Final Exam – Questions With InDepth
Solutions
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Terms in this set (71)
Treat primary cause
Get rid of the source, the cough goes away
Soothe cough
Cough Treatment Dextromethorophan
Inhaled meds- Ipratropium
Benzonatate
Codeine-last resort
Hemoptysis most common inflammatory—bronchitis, bronchiectasis, pneumonia, TB
causes
A cough can last how long up to 8 weeks
sometimes after a URI?
a temporary inflammation of the mucous membranes
that line the trachea and bronchial passageways; causes
Acute bronchitis
a cough that may produce mucus
5th most common cause of to see a HCP
-coughing
-fatigue
-pleuritic pain
-fever
Pneumonia symptoms
-increased WBC
-rust colored sputum
-crackles
-tachypnea
1) Confusion
2) BUN>19
3) RR>30
CURB-65 4) BP<90/60
5) 65yo
One or less indicates patient can be treated outpatient,
>1 =hospitalization
, "Coin lesion"
A single parenchymal lung lesion smaller than 3cm W/O
PNA , atelectasis, or lymphadenopathy
Single Pulmonary Nodule Pure subsolid SPN < 5mm require no follow-up
if SPN < 8mm follow Fleischner Society guidelines on
intervals for repeat CT
If SPN >8mm refer specialist
a sleep disorder characterized by temporary cessations
of breathing during sleep and repeated momentary
awakenings
Sleep apnea
Central apneas—absent airflow and respiratory efforts-
Neurological diseases
Obstructive apneas [OSA]-Tongue and soft palate fall
backward
What is the definitive test Overnight Polysomnogram
for sleep apnea
• Reduced airway size
•Shallow alveolar sacs
Age Related Pulmonary
•Decline in chest wall compliance
Changes
• Intercostal muscle atrophy
• Reduction in diaphragmatic strength by 25%
Consider possibility of silent aspiration, especially in
Who or when should you
those with frequent pneumonias, neurologic deficits, or
consider silent aspiration
residence in extended-care facilities
Asthma: never use LABA without ICS
Initial Therapies for Asthma
COPD: start treatment with LABA and/or LAMA, without
and COPD
ICS
What recommendation GINA recommends treatment with low-dose ICS for
does GINA make for most patients with asthma, even those with infrequent
controllers? symptoms, to reduce the risk of serious exacerbations.
1. Consider low dose ICS, PRN SABA
2. Low dose ICS or LTRA, PRN SABA
GINA stepwise approach
3. Low dose ICS/LABA, PRN SABA or ICS/Formoterol
for Asthma
4. Med/High dose ICS/LABA, same
5. Refer to asthma specialist for add on therapy
Solutions
Save
Terms in this set (71)
Treat primary cause
Get rid of the source, the cough goes away
Soothe cough
Cough Treatment Dextromethorophan
Inhaled meds- Ipratropium
Benzonatate
Codeine-last resort
Hemoptysis most common inflammatory—bronchitis, bronchiectasis, pneumonia, TB
causes
A cough can last how long up to 8 weeks
sometimes after a URI?
a temporary inflammation of the mucous membranes
that line the trachea and bronchial passageways; causes
Acute bronchitis
a cough that may produce mucus
5th most common cause of to see a HCP
-coughing
-fatigue
-pleuritic pain
-fever
Pneumonia symptoms
-increased WBC
-rust colored sputum
-crackles
-tachypnea
1) Confusion
2) BUN>19
3) RR>30
CURB-65 4) BP<90/60
5) 65yo
One or less indicates patient can be treated outpatient,
>1 =hospitalization
, "Coin lesion"
A single parenchymal lung lesion smaller than 3cm W/O
PNA , atelectasis, or lymphadenopathy
Single Pulmonary Nodule Pure subsolid SPN < 5mm require no follow-up
if SPN < 8mm follow Fleischner Society guidelines on
intervals for repeat CT
If SPN >8mm refer specialist
a sleep disorder characterized by temporary cessations
of breathing during sleep and repeated momentary
awakenings
Sleep apnea
Central apneas—absent airflow and respiratory efforts-
Neurological diseases
Obstructive apneas [OSA]-Tongue and soft palate fall
backward
What is the definitive test Overnight Polysomnogram
for sleep apnea
• Reduced airway size
•Shallow alveolar sacs
Age Related Pulmonary
•Decline in chest wall compliance
Changes
• Intercostal muscle atrophy
• Reduction in diaphragmatic strength by 25%
Consider possibility of silent aspiration, especially in
Who or when should you
those with frequent pneumonias, neurologic deficits, or
consider silent aspiration
residence in extended-care facilities
Asthma: never use LABA without ICS
Initial Therapies for Asthma
COPD: start treatment with LABA and/or LAMA, without
and COPD
ICS
What recommendation GINA recommends treatment with low-dose ICS for
does GINA make for most patients with asthma, even those with infrequent
controllers? symptoms, to reduce the risk of serious exacerbations.
1. Consider low dose ICS, PRN SABA
2. Low dose ICS or LTRA, PRN SABA
GINA stepwise approach
3. Low dose ICS/LABA, PRN SABA or ICS/Formoterol
for Asthma
4. Med/High dose ICS/LABA, same
5. Refer to asthma specialist for add on therapy
