CSE DISEASE PROCESS QUESTIONS AND ANSWERS

CSE DISEASE PROCESS QUESTIONS AND ANSWERS Emphysema/Chronic Bronchitis treatment-CORRECT ANSWER-Low flow oxygen, target 88-92% Aerosolized bronchodilators(SABA. LABA, anticholinergic, LAMA) Brochial hygiene as indicated Inhaled corticosteroids Antibiotics if indicted by sputum culture Referral to smoking cessation program, nicotine replacement therapy Pulmonary rehabilitation, proper nutrition and monitor fluid intake Consider NPPV for accute exacerbations of ventilatory failure Refer patient and family to appropriate edu programs -> nutritional management, avoid infections, exercise, aid in secretion clearance, home O2 and aerosol therapy, medication and usage Asthma treament-CORRECT ANSWER-O2 therapy aerosol therapy with SABA anticholinergic agents(continuous neb) corticosteroids( oral or IV) close monitoring intubation and mechanical ventilation if ventilatory failure or resp arrest occurs Adjunct therapies: heliox therapy, magnesium sulfate, sub q epinephrine Long term control of Asthma-CORRECT ANSWER-Asthma triggers should be eliminated, minimized or avoided to prevent acute attacks Control medications: LABA, inhaled corticosteroids, mast cell stabilizers, leukotriene inhibitors Asthma action plan based on peak flow monitoring Refer a patient to a specialist doctor-CORRECT ANSWER-Difficulty confirming diagnosis Suspected occupational asthma Persistent uncontrolled asthma or frequent exacerbations Any risk factors for asthma related death Evidence of, or risk for, significant treatment side effects Bronchiectasis Treatment-CORRECT ANSWER-Oxygen Therapy Pulmonary Hygiene Lung expansion therapy(IPPB, IPV) Antibiotics for infection Expectorants Bronchodilators Surgical resection of involved portions as necessary Cystic Fibrosis Treatment-CORRECT ANSWER-Airway clearance ->CPT and postural drainage, Exercise, PEP therapy High frequency chest wall percussion, active cycle breathing, autogenic drainage, huff coughing Bronchodialators-SABA/anticholinergic Mucolytics-7 % hypertonic saline, pulmonzyme Corticosteriods: Advair, flovent, pulmicort Anti-infective agents- tobi, colistin, amikacin Digestive enzymes sleep apnea treatment-CORRECT ANSWER-Central sleep apnea-> NPPV