Maryville NURS 651 exam 1 Already Passed!!

Intermittent Asmtha - 80% FEV and PEFR before bronchodilator 12% and 20% change, respectively, after bronchodilator use Intermittent symptoms (wheeze, cough, dyspnea) 2 times/week Brief exacerbations (from a few hours to a few days) Nighttime asthma symptoms 2 times/month Mild Persistent Asthma - 80% FEV1 and PEFR before bronchodilator use 12% and 20% change, respectively, after bronchodilator use Intermittent symptoms (wheeze, cough, dyspnea) 2 times/week but 1 time/day Exacerbations that may affect activity and sleep Nighttime asthma symptoms 2 times/month but 1 time/week Moderate Persistent Asthma - 60-80% FEV1 and PEFR before bronchodilator use Symptoms (wheeze, cough, dyspnea) daily Exacerbations 2 times/week; may last days and affect activity Nighttime asthma symptoms 1 time/week Severe persistent - 60% FEV1 and PEFR before bronchodilator use Continuous symptoms Frequent exacerbations Frequent nighttime asthma symptoms Physical activities limited by asthma symptoms Asthma Clinical History - In a primary care setting, asthma should be monitored using a standardized instrument, which may include the Asthma Control Test (ACT), Asthma Family history of asthma or other related allergic disorders (e.g., eczema or AR) •Conditions associated with asthma (e.g., chronic sinusitis, nasal polyposis, gastroesophageal reflux, and chronic otitis media) • Complaints of chest tightness or dyspnea • Cough and wheezing particularly at night and in the early morning or shortness of breath with exercise or exertion (characteristic of asthma) • Seasonal, continuous, or episodic pattern of symptoms that may be associated with certain allergens or triggering agents • Episodes of recurrent "bronchitis" or pneumonia • Precipitation of symptoms by known aggravating factors (upper respiratory infections, acetaminophen, aspirin) • Level of alertness Asthma Diagnosis - Spirometric measures of airflow and lung volumes during forced expiratory maneuvers•