AGNP respiratory Review
asthma - answer A common chronic disorder of the lower airways that is complex and
characterized by variable and reoccurring symptoms, airflow obstruction, bronchial
hyper responsiveness, and underlying inflammation
risk factors for asthma - answerGenetic - environmental interactions, viral respiratory
tract infections and atopy
The goal of therapy of asthma - answerCough and wheeze are noted in frequently and
activity tolerance is normal
signs and symptoms of asthma - answerRecurrent cough, wheezing, shortness of
breath and or chest tightness and evidence of air trapping; symptoms often occur and
worsen at night or with exercise, during viral respiratory infections or exposure to
allergens
spirometry - answera measurement of breathing; needed to make the diagnosis of
asthma; peak flow meter should be used for monitoring asthma not diagnosing it
persistent asthma - answermild, moderate or severe; followup appointments are
essential for the assessment of asthma control
asthma medications - answerDivided into two groups; controller medication's are used
for regular maintenance treatment to reduce airway inflammation, control symptoms and
prevent exasperations; rescue medication's are provided for as needed relief of
breakthrough symptoms including worsening asthma or exasperations
short acting beta 2 agonists - answeralbuterol, levalbuterol
used as needed in asthma maintenance
Which of the following best describes asthma? - answerChronic airway inflammation
with superimpose bronchospasm
The patient you are evaluating is having an asthma flareup. You have assess that his
condition is appropriate for office treatment. You expect to find the following on physical
exam - answerhyper resonance on thoracic percussion
A 44-year-old man has a long-standing history of moderate persistent asthma that is
normally well controlled by fluticasone with salmeterol (Advair) via meter dose inhaler,
one puff twice a day and use of albuterol one to two times a week as needed for
wheezing. Three days ago he developed a sore throat, clear nasal discharge,
bodyaches and a cough with a small amount of white sputum production. In the past 24
, hours he has had intermittent wheezing that necessitated the use of albuterol, two puffs
every three hours which produce partial relief. Your next most appropriate actions to
obtain a - answerspirometry measurement
You examine a 24-year-old woman who has an acute asthma flareup following a three
day history of upper respiratory tract symptoms. She has a history of moderate
persistent asthma that is in good control and an acceptable peak expiratory flow. She is
using Pulmicort and albuterol as directed and continues to have difficulty with coughing
and wheezing. At home her PEF is 55% of personal best. In the office her force
expiratory volume at one second is 65% of predicted. Her medication regimen should
be adjusted to include - answeroral prednisone
Which of the following best describes a PEF meter? - answerProvides a convenient
method to check expiratory airflow at home
Which of the following is most accurate regarding the use of a chest x-ray during an
acute asthma flareup? - answerChest radiograph should be limited to those with signs
of respiratory tract infection such as fever, congested cough; other words not warranted
unless there is a suspicion of pneumonia, signs include fever, elevated white blood cell
count, prevalent sputum and congested cough
A 36-year-old man with asthma also needs antihypertensive therapy. Which of the
following products should you avoid prescribing? - answerPropranolol; the use of beta
blockers specifically noncardioselective ones to treat hypertension should be avoided in
patients with asthma because they caused increased bronchial obstruction and airway
reactivity
What shows the presentation of asthma that is not well controlled? - answerA
troublesome nocturnal cough more than two nights per week, need for albuterol to
relieve shortness of breath more than twice a week and two or more exasperations per
year requiring oral corticosteroids
The corner stone of moderate persistent asthma control and drug therapy is the use of -
answerInhaled corticosteroids; the first line controller medication for moderate persistent
asthma as this is the most effective approach to control airway inflammation
Sharon is a 29-year-old woman with moderate persistent asthma. She has a
prescription for an ICS that she does not use stating I'm finding that the albuterol works
better. Currently she uses about two albuterol metered dose inhalers per month that
keeps my cough and wheeze under control she is requesting a prescription refill you
consider that - answerExcessive albuterol used as a risk factor for asthma death;
overuse of short acting beta agonists is a marker for poor control of airway
inflammation; the best approach is to initiate an inhaled corticosteroid along with a short
course of oral corticosteroid therapy to control airway inflammation
asthma - answer A common chronic disorder of the lower airways that is complex and
characterized by variable and reoccurring symptoms, airflow obstruction, bronchial
hyper responsiveness, and underlying inflammation
risk factors for asthma - answerGenetic - environmental interactions, viral respiratory
tract infections and atopy
The goal of therapy of asthma - answerCough and wheeze are noted in frequently and
activity tolerance is normal
signs and symptoms of asthma - answerRecurrent cough, wheezing, shortness of
breath and or chest tightness and evidence of air trapping; symptoms often occur and
worsen at night or with exercise, during viral respiratory infections or exposure to
allergens
spirometry - answera measurement of breathing; needed to make the diagnosis of
asthma; peak flow meter should be used for monitoring asthma not diagnosing it
persistent asthma - answermild, moderate or severe; followup appointments are
essential for the assessment of asthma control
asthma medications - answerDivided into two groups; controller medication's are used
for regular maintenance treatment to reduce airway inflammation, control symptoms and
prevent exasperations; rescue medication's are provided for as needed relief of
breakthrough symptoms including worsening asthma or exasperations
short acting beta 2 agonists - answeralbuterol, levalbuterol
used as needed in asthma maintenance
Which of the following best describes asthma? - answerChronic airway inflammation
with superimpose bronchospasm
The patient you are evaluating is having an asthma flareup. You have assess that his
condition is appropriate for office treatment. You expect to find the following on physical
exam - answerhyper resonance on thoracic percussion
A 44-year-old man has a long-standing history of moderate persistent asthma that is
normally well controlled by fluticasone with salmeterol (Advair) via meter dose inhaler,
one puff twice a day and use of albuterol one to two times a week as needed for
wheezing. Three days ago he developed a sore throat, clear nasal discharge,
bodyaches and a cough with a small amount of white sputum production. In the past 24
, hours he has had intermittent wheezing that necessitated the use of albuterol, two puffs
every three hours which produce partial relief. Your next most appropriate actions to
obtain a - answerspirometry measurement
You examine a 24-year-old woman who has an acute asthma flareup following a three
day history of upper respiratory tract symptoms. She has a history of moderate
persistent asthma that is in good control and an acceptable peak expiratory flow. She is
using Pulmicort and albuterol as directed and continues to have difficulty with coughing
and wheezing. At home her PEF is 55% of personal best. In the office her force
expiratory volume at one second is 65% of predicted. Her medication regimen should
be adjusted to include - answeroral prednisone
Which of the following best describes a PEF meter? - answerProvides a convenient
method to check expiratory airflow at home
Which of the following is most accurate regarding the use of a chest x-ray during an
acute asthma flareup? - answerChest radiograph should be limited to those with signs
of respiratory tract infection such as fever, congested cough; other words not warranted
unless there is a suspicion of pneumonia, signs include fever, elevated white blood cell
count, prevalent sputum and congested cough
A 36-year-old man with asthma also needs antihypertensive therapy. Which of the
following products should you avoid prescribing? - answerPropranolol; the use of beta
blockers specifically noncardioselective ones to treat hypertension should be avoided in
patients with asthma because they caused increased bronchial obstruction and airway
reactivity
What shows the presentation of asthma that is not well controlled? - answerA
troublesome nocturnal cough more than two nights per week, need for albuterol to
relieve shortness of breath more than twice a week and two or more exasperations per
year requiring oral corticosteroids
The corner stone of moderate persistent asthma control and drug therapy is the use of -
answerInhaled corticosteroids; the first line controller medication for moderate persistent
asthma as this is the most effective approach to control airway inflammation
Sharon is a 29-year-old woman with moderate persistent asthma. She has a
prescription for an ICS that she does not use stating I'm finding that the albuterol works
better. Currently she uses about two albuterol metered dose inhalers per month that
keeps my cough and wheeze under control she is requesting a prescription refill you
consider that - answerExcessive albuterol used as a risk factor for asthma death;
overuse of short acting beta agonists is a marker for poor control of airway
inflammation; the best approach is to initiate an inhaled corticosteroid along with a short
course of oral corticosteroid therapy to control airway inflammation
