CORRECT QUESTIONS & ANSWERS
Which is not a goal of chronic obstructive community paramedic guidelines?
A. prevention of disease progress
B. reduction of mortality
C. help pt with low-sodium diet understanding
D. prompt treatment of exacerbations and complications
E. help with pt's self-management - ANSWER C. help with their understanding or
compliance with a low-sodium diet. This is a key feature of the goals of the heart failure
protocol or even hypetension but not the COPD.
which is not a part of the discussion a CP has with the pt during a COPD visit
A. inhaler use
B. sign and symptoms of exacerbation
C. need for COVID vaccine
D. understanding the need to stop smoking - ANSWER C. need for flu and
pneumococcal vaccinations not necissarily the COVID vaccine.
what do you need to review prior to a COPD visit? (3) - ANSWER - pt health history
- COPD flare-up action plan
- care plan
how should you assess pt current level of dyspnea on a COPD visit? - ANSWER - their
report (number scale 0-10)
- what you see WOB, vitals (increased HR, RR, BP (up or down),)
- sputum, cough change,
- expiratory wheezes, inspiratory crackles
-diminished breath sounds
what two prescriptions are often a part of a COPD pt flare-up action plan which they can
initiate immediately without visit to PCP? - ANSWER antibiotics and steroids.
What does MDI inhaler stand for? - ANSWER metered dose inhaler
What are the cleaning recommendations for inhalers? - ANSWER - rinse after use to
prevent medication build-up
- the spacer should be washed in warm, soapy water once a week and air dried. This
prevents static.