NURS 3119 Respiratory Meds Exam
2 With Solution
What are Airway Disorders of the Lower Airway? - ANSWER >COPD
>Asthma
What is Asthma? - ANSWER >Chronic airway disease
>Inflammatory disorder
>Intermittent and reversible
>Airway obstruction-small airway disease
>Due to inflammation or hyper-responsiveness
What can Asthma Lead to? - ANSWER Bronchoconstriction,
bronchospasm--which can happen suddenly
What 2 Diseases are Commonly Seen with Asthma? - ANSWER >Eczema
>Allergic Rhinitis
What can Asthma Result from? - ANSWER >50% immune response to known
allergens
>Other 50% is unknown, but unrecognized allergies are suspected
When does Asthma Become an Emergency? - ANSWER >Acute Severe
Asthma Exacerbation
>Status Asthmaticus
,What is COPD? - ANSWER >Chronic
>Constant-but often have periods of worsening symptoms
>Progressive
>Largely irreversible
>Airflow restrictions and inflammation
Is COPD Preventable? Most Common Cause? - ANSWER In most cases
preventable--most common cause is cigarette smoking
What are Symptoms of COPD? - ANSWER >Chronic cough
>Excessive sputum production
>Wheezing
>Dyspnea
>Poor exercise tolerance
What does Drug Therapy Not do? - ANSWER Slow disease progression,
reduce hospitalizations, prolong life
Are there any Benefits of COPD Medication Therapy? - ANSWER Minimal,
some improvement of symptoms
What can COPD Lead to? - ANSWER >Chronic Bronchitis
>Emphysema
What is Chronic Bronchitis? - ANSWER Chronic cough and excessive sputum
production from hypertrophy of mucus-secreting glands, bronchial edema,
bacterial colonization of airways
, What is Emphysema? - ANSWER Destruction of alveolar septa and loss of
elastic recoil of bronchial walls-results in AIR TRAPPING
What are Medication Classifications for Asthma and COPD? - ANSWER
>Beta-adrenergic agonist
>Methylxanthines
>Inhaled anticholinergics
>Anti-inflammatory medications (glucocorticoids, mast cell stabilizers,
leukotriene modifiers)
What are Beta 2-Adrenergic Agonists? - ANSWER >Albuterol
>Salmeterol
>Terbutaline
What is the Action of Beta 2-Adrenergic Agonists? - ANSWER Selectively
activates the Beta 2-receptors in the bronchial smooth muscle-effects
relaxation and dilation of airways
What are Therapeutic Uses of Beta 2-Adrenergic Agonists? - ANSWER
>Prevention of exercise-induced asthma episodes
>Treatment of bronchospasm, long-term control of asthma
What Occurs during Beta 2-Adrenergic Agonists Use? - ANSWER
>Bronchospasm is relieved
>Histamine release is blocked
>Ciliary mobility is increased
What are the Benefits of Inhalation Medication? - ANSWER >Delivers right to
2 With Solution
What are Airway Disorders of the Lower Airway? - ANSWER >COPD
>Asthma
What is Asthma? - ANSWER >Chronic airway disease
>Inflammatory disorder
>Intermittent and reversible
>Airway obstruction-small airway disease
>Due to inflammation or hyper-responsiveness
What can Asthma Lead to? - ANSWER Bronchoconstriction,
bronchospasm--which can happen suddenly
What 2 Diseases are Commonly Seen with Asthma? - ANSWER >Eczema
>Allergic Rhinitis
What can Asthma Result from? - ANSWER >50% immune response to known
allergens
>Other 50% is unknown, but unrecognized allergies are suspected
When does Asthma Become an Emergency? - ANSWER >Acute Severe
Asthma Exacerbation
>Status Asthmaticus
,What is COPD? - ANSWER >Chronic
>Constant-but often have periods of worsening symptoms
>Progressive
>Largely irreversible
>Airflow restrictions and inflammation
Is COPD Preventable? Most Common Cause? - ANSWER In most cases
preventable--most common cause is cigarette smoking
What are Symptoms of COPD? - ANSWER >Chronic cough
>Excessive sputum production
>Wheezing
>Dyspnea
>Poor exercise tolerance
What does Drug Therapy Not do? - ANSWER Slow disease progression,
reduce hospitalizations, prolong life
Are there any Benefits of COPD Medication Therapy? - ANSWER Minimal,
some improvement of symptoms
What can COPD Lead to? - ANSWER >Chronic Bronchitis
>Emphysema
What is Chronic Bronchitis? - ANSWER Chronic cough and excessive sputum
production from hypertrophy of mucus-secreting glands, bronchial edema,
bacterial colonization of airways
, What is Emphysema? - ANSWER Destruction of alveolar septa and loss of
elastic recoil of bronchial walls-results in AIR TRAPPING
What are Medication Classifications for Asthma and COPD? - ANSWER
>Beta-adrenergic agonist
>Methylxanthines
>Inhaled anticholinergics
>Anti-inflammatory medications (glucocorticoids, mast cell stabilizers,
leukotriene modifiers)
What are Beta 2-Adrenergic Agonists? - ANSWER >Albuterol
>Salmeterol
>Terbutaline
What is the Action of Beta 2-Adrenergic Agonists? - ANSWER Selectively
activates the Beta 2-receptors in the bronchial smooth muscle-effects
relaxation and dilation of airways
What are Therapeutic Uses of Beta 2-Adrenergic Agonists? - ANSWER
>Prevention of exercise-induced asthma episodes
>Treatment of bronchospasm, long-term control of asthma
What Occurs during Beta 2-Adrenergic Agonists Use? - ANSWER
>Bronchospasm is relieved
>Histamine release is blocked
>Ciliary mobility is increased
What are the Benefits of Inhalation Medication? - ANSWER >Delivers right to
