NUR 607 FINAL EXAM STUDY GUIDE (Mods
1,2,8 only) QUESTIONS and ANSWERS
When are oral corticosteroids indicated in asthma patients? - CORRECT
ANSWER-When a patient has an acute exacerbation, they will need a 5-10 day
course of oral prednisone with rapid dose reduction. They may also be prescribed
for patients with poorly controlled asthma (e.g. severe persistent).
Should an ICS be prescribed as needed? - CORRECT ANSWER-Never. It should
be used as maintenance therapy.
How should cortisone therapy be discontinued in asthma patients? - CORRECT
ANSWER-If asthma symptoms are well controlled for three months, oral steroids
can be D/C'd first. Then the dose of inhaled corticosteroids can be reduced by
, 50%. Further reduction in therapy can include reducing the ICS/LABA dose to once
daily. If the patient's asthma has been symptom-free for 6-12 months AND there
are no risk factors for exacerbations, the long term control regimen may be
stopped.
When should asthma treatment be stepped up? - CORRECT ANSWER-If the
asthma isn't well-controlled with 2-3 months of long-term control medicine.
What is a possible issue related to self treatment with OTC drugs? - CORRECT
ANSWER-Masking symptoms/delaying treatment. Additionally, many OTC drugs
can counteract with prescribed medications, causing A/Es and/or alteration in
prescription drug efficacy or toxicity.
medication regimens, cost of the drug, side effects of the drug, ease of
administration and/or drug form (e.g., large tablets or capsules), education and
communication between provider and patient, perceived side effects not truly
related to the medication, functional and/or mental deficits (eg. vision changes,
dementia, arthritis of hands), provider approachability, perception of patient
respect, belief that the therapy is beneficial and outweighs the risks or side
effects, the degree to which the patient participates in the development of the
treatment regimen, degree to which patient believes that expectations and
concerns are being met, degree to which the practitioner motivates the patient to
1,2,8 only) QUESTIONS and ANSWERS
When are oral corticosteroids indicated in asthma patients? - CORRECT
ANSWER-When a patient has an acute exacerbation, they will need a 5-10 day
course of oral prednisone with rapid dose reduction. They may also be prescribed
for patients with poorly controlled asthma (e.g. severe persistent).
Should an ICS be prescribed as needed? - CORRECT ANSWER-Never. It should
be used as maintenance therapy.
How should cortisone therapy be discontinued in asthma patients? - CORRECT
ANSWER-If asthma symptoms are well controlled for three months, oral steroids
can be D/C'd first. Then the dose of inhaled corticosteroids can be reduced by
, 50%. Further reduction in therapy can include reducing the ICS/LABA dose to once
daily. If the patient's asthma has been symptom-free for 6-12 months AND there
are no risk factors for exacerbations, the long term control regimen may be
stopped.
When should asthma treatment be stepped up? - CORRECT ANSWER-If the
asthma isn't well-controlled with 2-3 months of long-term control medicine.
What is a possible issue related to self treatment with OTC drugs? - CORRECT
ANSWER-Masking symptoms/delaying treatment. Additionally, many OTC drugs
can counteract with prescribed medications, causing A/Es and/or alteration in
prescription drug efficacy or toxicity.
medication regimens, cost of the drug, side effects of the drug, ease of
administration and/or drug form (e.g., large tablets or capsules), education and
communication between provider and patient, perceived side effects not truly
related to the medication, functional and/or mental deficits (eg. vision changes,
dementia, arthritis of hands), provider approachability, perception of patient
respect, belief that the therapy is beneficial and outweighs the risks or side
effects, the degree to which the patient participates in the development of the
treatment regimen, degree to which patient believes that expectations and
concerns are being met, degree to which the practitioner motivates the patient to
