ANCC Adult-Gero Review

Acute cough - Answer- 3 weeks Subacute cough - Answer- 3-8 weeks Chronic cough - Answer- 8 weeks Acute Bronchitis - Answer- inflammation of the bronchioles Acute bronchitis etiology - Answer- almost always viral Acute Bronchitis symptoms - Answer- cough that usually lasts 10-20 days Acute Bronchitis Treatment - Answer- OTC antitussive, NSAIDs, antibiotics NOT recommended Pneumonia etiology - Answer- *S. pneumoniae *M. pneumoniae *C. pneumoniae Pneumonia treatment - Answer- *healthy with no recent antibiotics=macrolide or doxy *comorbidities or recent antibiotic=DRSP=resp quinolone OR beta-lactam + macrolide OR beta-lactam +Doxy Pneumonia length of treatment - Answer- *minimum 5 days *average 5-10 days *re-evaluate after 48-72 hrs if poor response Pneumovax - Answer- *PPSV: 19-64 with increased risk *PCV13 + PPSV23: all adults /= 65, or 19-64 with asplenia, immunocompromised, CSF leaks, cochlear implant, advanced CKD COPD - Answer- persistent airflow limitation that is usually progressive and associated with enhanced chronic inflammatory response in the airways and lung to noxious particles or gases COPD Diagnosis - Answer- *symptoms compatible with COPD (DOE, cough, sputum) *spirometry=FEV1/FVC ration 70% plus FEV1 80% predicted *no alternative explanation for symptoms *Alpha-1 antitrypsin deficiency COPD Stage 1 - Answer- Mild: FEV1/FVC 70%, with or without symptoms