EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024
CMN 568 Unit 3 Study Guide with
Complete Solutions
What are the 3 characteristics of Asthma - Answer✔✔-Bronchoconstriction
Airway Inflammation
Reversible airflow limitation
Which inhaled anticholinergic is best used for asthma pt. w/an intolerance to beta agonist or w/
bronchospasms due to beta blocker meds? - Answer✔✔-Ipratropium Bromide
What is the primary tx for pt. w/moderate to severe asthma exacerbations who do not respond
promptly and completely to SABA? - Answer✔✔-Systemic Corticosteroids
Which bacterial infections predispose exacerbations of asthma - Answer✔✔-M. Pneumoniae
and C. Pneumoniae
Is routine use of antimicrobials recommended for acute exacerbations of asthma - Answer✔✔-
No, only use when likelihood of acute bacterial respiratory tract infection
Name short acting beta agonist - Answer✔✔-albuterol, levalbuterol, bitolerol, pirbuterol,
terbutaline
What does a SABA do? - Answer✔✔-acts directly by relaxing bronchial smooth muscles.
Page 1/28
,EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024
What do long-term pharmacologic agents accomplish for asthma pt. - Answer✔✔-act primarily
to attenuate airway inflammation.
Why take long-term pharmacologic agents for asthma daily? - Answer✔✔-to achieve and
maintain control of persistent asthma independent of symptoms.
What does the NAEPP recommend as the cornerstone of daily treatment of persistent asthma? -
Answer✔✔-daily anti-inflammatory therapy with inhaled corticosteroids
Role of corticosteroids with asthma - Answer✔✔-Reduce inflammation (acute and chronic) =
improved airflow, decreased airway hyper-responsiveness and fewer asthma exacerbations, and
potentiate the action of beta-adrenergic agonist.
1st. line treatment agent for all pt w/persistent asthma (long term controller) - Answer✔✔-
Inhaled Corticosteroids
How often to most patient use inhaled corticosteroids? - Answer✔✔-Twice daily to provide
adequate control.
How long can it take to see maximum response of inhaled corticosterioids? - Answer✔✔-
Months
What can a patient do to reduce side effects of inhaled corticosteroids? - Answer✔✔-Rinse
mouth after each use
A patient has an exacerbation of asthma, what is the most effective treatment to achieve
prompt control? - Answer✔✔-Systemic (oral) corticosteroids
Page 2/28
, EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024
Dose of oral corticosteroids for children during exacerbation of asthma - Answer✔✔-1-2
mg/kg/day.
Can be either a single dose or divided BID.
MAX 60 mg/day
Dose of oral corticosteroids for adults during exacerbation of asthma - Answer✔✔-40-60
mg/day
either as a single dose of divided BID
Duration of treatment of oral corticosteroids for asthma exacerbation - Answer✔✔-3-10 days or
until symptoms resolve
(no evidence that tapering dose of PO steroids prevents relapse)
When treating exacerbation of asthma, what is the preferred treatment plan? - Answer✔✔-
Alternate days rather than daily treatment.
What additional medications are required to be given concurrent with systemic corticosteroids
to prevent corticosteroid induced bone mineral loss? - Answer✔✔-Vitamin D and Calcium
Should systemic corticosteroids be rapidly discontinued? - Answer✔✔-No, to prevent adrenal
insufficiency
Name some mediator inhibitors to treat asthma - Answer✔✔-Cromolyn sodium and nedocromil
Page 3/28
CMN 568 Unit 3 Study Guide with
Complete Solutions
What are the 3 characteristics of Asthma - Answer✔✔-Bronchoconstriction
Airway Inflammation
Reversible airflow limitation
Which inhaled anticholinergic is best used for asthma pt. w/an intolerance to beta agonist or w/
bronchospasms due to beta blocker meds? - Answer✔✔-Ipratropium Bromide
What is the primary tx for pt. w/moderate to severe asthma exacerbations who do not respond
promptly and completely to SABA? - Answer✔✔-Systemic Corticosteroids
Which bacterial infections predispose exacerbations of asthma - Answer✔✔-M. Pneumoniae
and C. Pneumoniae
Is routine use of antimicrobials recommended for acute exacerbations of asthma - Answer✔✔-
No, only use when likelihood of acute bacterial respiratory tract infection
Name short acting beta agonist - Answer✔✔-albuterol, levalbuterol, bitolerol, pirbuterol,
terbutaline
What does a SABA do? - Answer✔✔-acts directly by relaxing bronchial smooth muscles.
Page 1/28
,EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024
What do long-term pharmacologic agents accomplish for asthma pt. - Answer✔✔-act primarily
to attenuate airway inflammation.
Why take long-term pharmacologic agents for asthma daily? - Answer✔✔-to achieve and
maintain control of persistent asthma independent of symptoms.
What does the NAEPP recommend as the cornerstone of daily treatment of persistent asthma? -
Answer✔✔-daily anti-inflammatory therapy with inhaled corticosteroids
Role of corticosteroids with asthma - Answer✔✔-Reduce inflammation (acute and chronic) =
improved airflow, decreased airway hyper-responsiveness and fewer asthma exacerbations, and
potentiate the action of beta-adrenergic agonist.
1st. line treatment agent for all pt w/persistent asthma (long term controller) - Answer✔✔-
Inhaled Corticosteroids
How often to most patient use inhaled corticosteroids? - Answer✔✔-Twice daily to provide
adequate control.
How long can it take to see maximum response of inhaled corticosterioids? - Answer✔✔-
Months
What can a patient do to reduce side effects of inhaled corticosteroids? - Answer✔✔-Rinse
mouth after each use
A patient has an exacerbation of asthma, what is the most effective treatment to achieve
prompt control? - Answer✔✔-Systemic (oral) corticosteroids
Page 2/28
, EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024
Dose of oral corticosteroids for children during exacerbation of asthma - Answer✔✔-1-2
mg/kg/day.
Can be either a single dose or divided BID.
MAX 60 mg/day
Dose of oral corticosteroids for adults during exacerbation of asthma - Answer✔✔-40-60
mg/day
either as a single dose of divided BID
Duration of treatment of oral corticosteroids for asthma exacerbation - Answer✔✔-3-10 days or
until symptoms resolve
(no evidence that tapering dose of PO steroids prevents relapse)
When treating exacerbation of asthma, what is the preferred treatment plan? - Answer✔✔-
Alternate days rather than daily treatment.
What additional medications are required to be given concurrent with systemic corticosteroids
to prevent corticosteroid induced bone mineral loss? - Answer✔✔-Vitamin D and Calcium
Should systemic corticosteroids be rapidly discontinued? - Answer✔✔-No, to prevent adrenal
insufficiency
Name some mediator inhibitors to treat asthma - Answer✔✔-Cromolyn sodium and nedocromil
Page 3/28
