NURS 615 Exam 4 Questions & Correct Ansers

Intermittent asthma tx -ANSWER SABA up to 3x for 20 minute intervals as needed Use of SABAa greater than 2 days/week for symptom relief would mean that -ANSWER asthma is poorly controlled and tx should be moved to next step Persistent asthma means -ANSWER step 1 has occurred and patient needs daily medications Asthma step 2 -ANSWER preferred: low-dose inhaled corticosteroids (ICS) alternative: LRTA (singulair) Asthma step 3 -ANSWER preferred: low dose ICS + LABA or medium dose ICS alternative: low-dose ICS + either LRTA, or Zileuton Asthma step 4 -ANSWER preferred: medium dose ICS + LABA alternative: medium-dose ICS + LRTA (singulair) or Zileuton Asthma step 5 -ANSWER high dose ICS + LABA and consider Omalizumab (anti-inflammatory) pmts w/ allergies Asthma step 6 -ANSWER high dose ICS + LABA + oral corticosteroid and omalizumab for patients with allergies After patients asthma is well controlled for at least 3 months.... -ANSWER step down in steps An asthma specialist should be consulted