1. what is mild intermit- 1) symptoms occur less than once a week
tent asthma? (aka in- 2) symptoms that occur during the night are no more than 2x a month
termittent) 3) does not interfere with activites
2. what is mild persis- 1) symptoms occur more than 1-2x a week but not daily
tent asthma? 2) slight interference with activities
3) symptoms that occur during the night occur more often than 2x a month
3. what is moderate per- 1) symptoms occur on a daily basis
sistent asthma? 2) exacerbations interfere with ADL's
3) noctural symptoms begin to increase in frequency
4. what is severe persis- 1) symptoms occur daily
tent asthma? 2) severe interference with activities
3) exacerbations are frequent
4) nocturnal symptoms increase in frequency
4) activities are severely limited
5. what is the preferred 1) inhaled SABAs as needed (for exercise induced asthma before exercis-
treatment for mild in- ing)
termittent asthma? 2) daily meds not needed
6. what is the preferred 1) Daily anti inflammatory (ICS)
treatment for mild 2) LABA (Salmeterol)
persistent asthma? 3) anticholinergics
4) montelukast
5) cromolyn
7. what is the preferred 1) Low Dose ICS (such as fluctiasone) and inhaled LABA
treatment for mod-
erate persistent asth- 2) nebulizer treatment may be more beneficial than inhalation
ma?
3) Low Dose ICS and Formoterol (Perforomist)
, Module 2 Exam
4) oral corticosteroids
8. what is the preferred 1) High dose ICS and inhaled LABA
treatment for moder-
ate to severe persis-
tent asthma?
9. what is the preferred 1) High dose ICS and inhaled LABA and oral corticosteroid
treatment for severe
persistent asthma? 2) oral corticosteroids may be prescribed to suppress inflammation
3) corticosteroids and bronchodilators may be given with nebulizer that is
more beneficial than inhalation
10. how to teach a pa- 1) before each use, remove the cap and apply spacer if needed
tient to use a metered 2) shake inhaler for 10 seconds, remove cap from mouthpiece
dose inhaler 3) exhale slowly and deeply to empty lungs
4) place mouthpiece in your mouth in between your teeth and above
tongue. seal lips tightly around.
5) press down on inhaler to release one dose of medicine into the spacer
6) breathe in slowly and deeply for about 5 seconds to allow medicine to
penetrate your lungs
7) if inhaler makes whistling sound, you are inhaling too rapidly
8) remove mouthpiece from mouth and keep lips closed
9) hold breath for 5-10 seconds, breath out slowly
10) wait 1 min before repeating dose
11) rinse mouth out with warm water to prevent sore throat and minimize
systemic absorption
12) clean mouthpiece and spacer, store in clean safe environment
11. reversed
, Module 2 Exam
asthma is the only
respiratory disorder
that can be?
12. what happens to the 1) mast cells are activated
airway when WBC are 2) mast cells release histamines, leukotrienes, and cytokines
released during an in- 3) Leads to increased blood flow, bronchoconstriction, and fluid leaks
flammatory process?
13. what does an acute 1) work of breathing is increased
asthma attack look 2) airway obstructed
like? 3) gas exchange compromised
4) inflammatory substances stimulates the parasympathetic system
5) mucosal edema occurs
14. what is an early phase 1) leads to airway remodeling
asthmatic reaction? 2) airway narrowing
3) mucus production
4) compromised gas exchange
**usually immediate?
15. what is a late phase 1) prolonged asthma attack
asthmatic reaction? 2) symptoms occur 2-6 hours after exposure to antigen
3) symptoms peak 6-9 hours after exposure to antigen
4) characterized by:
- mucus production
-airway narrowing
-increased work of breathing
-dyspnea
-impaired gas exchange
****usually inflammatory????
16.
, Module 2 Exam
what are genetic fac- 1) family history
tors behind asthma? 2) genetic mutation (mom/dad/immediate siblings)
3) atopy-genetic predisposition to develop allergic/asthmatic conditions
(food allergies, eczema, allergic rhinitis)
17. what are the envi- 1) allergens
ronmental factors be- 2) air pollution (people in cali)
hind asthma? 3) respiratory infections (covid/flu/rsv/pneumonia)
4) occupational exposures (mines, painters, farmers)
18. what are other fac- 1) airway hyperactivity
tors behind asthma? 2) obesity
3) diet and nutrition
19. what happens when becomes difficult for us to breathe
airways become con-
stricted?
20. what are a few exam- 1) pollen
ples of irritants that 2) smoking
can narrow the air- 3) running
way?
21. what are risk factors 1) genetics
of asthma? 2) Environmental exposures
3) Lifestyle factors
4) Occupational exposures
5) Race
6) Sex (in children, boys are more common; in adults more common in
females)
22. 1) smoking cessation!!!!!!
2) running with an inhaler