CMN 5 100% CORRECT ANSWERS, LATEST . 68 UNIT 3 INTRO TO FAMILY EXAM/TESTED & CONFIRMED DOCUMENT WITH
0 view 0 purchase
Course
CMN 568 UNIT 3 INTRO TO FAMILY
Institution
CMN 568 UNIT 3 INTRO TO FAMILY
CMN 5 100% CORRECT ANSWERS, LATEST .
68 UNIT 3 INTRO TO FAMILY EXAM/TESTED & CONFIRMED DOCUMENT WITH
Is Ipratropium bromide (SAMA) as effect as a SABA for relief of acute bronchospasm - CORRECT ANSWERS -No
What is the benefit to adding Tiotropium to therapy bronchodilator (salmeterol) or inade...
CMN 568 UNIT 3 INTRO TO FAMILY EXAM/TESTED &
CONFIRMED DOCUMENT WITH 100% CORRECT ANSWERS,
LATEST 2024-2025.
Is Ipratropium bromide (SAMA) as effect as a SABA for relief of acute bronchospasm -
CORRECT ANSWERS -No
What is the benefit to adding Tiotropium to therapy bronchodilator (salmeterol) or
inadequately controlled low-dose inhaler. - CORRECT ANSWERS -Improves lung
function and reduces frequency of asthma exacerbations.
Name the phosphodiesterase inhibitor used for asthma - CORRECT ANSWERS -
theophylline
What is theophylline used for in a pt w/ asthma? - CORRECT ANSWERS -mild
bronchodilation
What is the mechanism of action of theophylline for asthma - CORRECT ANSWERS -
anti-inflammatory and immunodilator properties which enhance mucociliary clearance
and strengthen diaphragmatic contractility.
Why are drug levels of Theophylline monitored? - CORRECT ANSWERS -Due to
narrow therapeutic ranges.
Name the leukotriene modifiers for asthma - CORRECT ANSWERS -Zileutonn,
zafirlukast, montelukast
use of leukotriene modifiers for asthma? - CORRECT ANSWERS -alternatives to low-
dose inhaled corticosteroids in pt. w/mild persistent asthma
*as mono-therapy are usually less effective than inhaled corticosteroids
Which recombinant antibody that binds IgE w/o activating mast cells can be used to
treat SEVERE asthma in 18 yr old and older - CORRECT ANSWERS -Omalizumab and
Reslizumab
Which vaccinations should the FNP ensure that a pt with asthma receives? - CORRECT
ANSWERS -pneumovac and influenze
Which patients are oral sustained release beta 2 agonist be reserved for? - CORRECT
ANSWERS -pt. with nocturnal asthma or persistent mod-severe asthma who do not
respond to other therapies.
,A patient has a PEF> 80% and minor changes in airway function. What severity of
asthma exacerbation does this patient have? - CORRECT ANSWERS -Mild asthma
exacerbation
The FNP should double the dose of inhaled corticosteroids during an asthma
exacerbation, true or false? - CORRECT ANSWERS -False.
Doubling the dose of the inhaled corticosteroid is not effective and not recommended.
A patient is experiencing mild asthma exacerbation and currently not taking an inhaled
corticosteroid, what can the FNP do? - CORRECT ANSWERS -initiate one
The FNP expects many pts with mild asthma exacerbation to respond fully and quickly
to which treatment? - CORRECT ANSWERS -Inhaled SABA
Can the FNP start an oral corticosteroid if the patient is already taking an inhaled
corticosteroid? - CORRECT ANSWERS -Yes
What is the goal of treating moderate asthma exacerbation? - CORRECT ANSWERS -
**Correct hypoxemia!
Reverse airflow obstruction
reduce likelihood of reoccurrence of obstruction
What should the FNP prescribe to correct hypoxemia in a pt with exacerbation of
asthma - CORRECT ANSWERS -Oxygen!
When should systemic corticosteroids be given to a pt with asthma exacerbation -
CORRECT ANSWERS -When peak flow is <70% of baseline
To pt. who doesn't respond to several SABA treatments
What criteria correlates to the severity of asthma exacerbation? - CORRECT
ANSWERS -Improvement of FEVI after 30 minutes
A pt presents with (severe) Acute Asthma Exacerbation, what should the patient be
treated with? - CORRECT ANSWERS -Immediately- Oxygen, high doses of inhaled
SABA, and systemic corticosteroids
What are the 3 characteristics of Asthma - CORRECT ANSWERS -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? - CORRECT ANSWERS -
Ipratropium Bromide
, What is the primary tx for pt. w/moderate to severe asthma exacerbations who do not
respond promptly and completely to SABA? - CORRECT ANSWERS -Systemic
Corticosteroids
Which bacterial infections predispose exacerbations of asthma - CORRECT ANSWERS
-M. Pneumoniae and C. Pneumoniae
Is routine use of antimicrobials recommended for acute exacerbations of asthma -
CORRECT ANSWERS -No, only use when likelihood of acute bacterial respiratory tract
infection
Name short acting beta agonist - CORRECT ANSWERS -albuterol, levalbuterol,
bitolerol, pirbuterol, terbutaline
What does a SABA do? - CORRECT ANSWERS -acts directly by relaxing bronchial
smooth muscles.
What do long-term pharmacologic agents accomplish for asthma pt. - CORRECT
ANSWERS -act primarily to attenuate airway inflammation.
Why take long-term pharmacologic agents for asthma daily? - CORRECT ANSWERS -
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? - CORRECT ANSWERS -daily anti-inflammatory therapy with inhaled
corticosteroids
Role of corticosteroids with asthma - CORRECT ANSWERS -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) -
CORRECT ANSWERS -Inhaled Corticosteroids
How often to most patient use inhaled corticosteroids? - CORRECT ANSWERS -Twice
daily to provide adequate control.
How long can it take to see maximum response of inhaled corticosterioids? - CORRECT
ANSWERS -Months
What can a patient do to reduce side effects of inhaled corticosteroids? - CORRECT
ANSWERS -Rinse mouth after each use
A patient has an exacerbation of asthma, what is the most effective treatment to
achieve prompt control? - CORRECT ANSWERS -Systemic (oral) corticosteroids
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller gideonngari. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $18.49. You're not tied to anything after your purchase.
