Exam (elaborations)
NURS 590 Exam 2 Study Guide + Practice Questions With Solution
- Course
- Institution
NURS 590 Exam 2 Study Guide + Practice Questions With Solution...
[Show more]
Content preview
NURS 590 Exam 2 Study Guide + PracticeQuestions With Solution
Try to differentiate COPD from Asthma - ANSWER asthma is reversible, copd
is not
COPD sx: sob, chronic cough, sputum, wheezing/chest tightness, risk factors:
host factors, exposure to particles: tobacco, pollution, occupation, disease
related
key indicators for considering copd - ANSWER dyspnea that progresses over
time, is persistent, and characteristically worse with exercise
chronic cough: may be intermittent, un productive, with recurrent wheeze
chronic sputum production: any pattern of chronic sputum production is
suspicious for copd
modified mrc dyspnea scale - ANSWER grade 0: i only get breathless with
strenuous exercise
grade 1: i only get breathless when hurrying on the level, walking up a hill
grade 2: i walk slower than people of the same age on the level bc of
breathlessness, or i have to stop to catch my breath when walking at my own
pace on the level
grade 3: stop for breath after walking 100 m or few minutes on level
grade 4: too breathless when leaving house, dressing or undressing
COPD meds - ANSWER Beta 2 agonists- Bronchodilators • Short-acting Beta
Agonists (SABA)• Albuterol• Long-Acting Beta Agonists (LABA)•
,Formoterol/Salmeterol• Muscarinic Antagonists
(Antimuscarinic/Anticholinergic)-decrease secretions• Long-Acting
Muscarinic Agonists (LAMA)• Tiotropium• Methylxanthines• Theophylline•
Anti-inflammatory (usually in combination LABA)• Inhaled corticosteroids•
Oral corticosteroids• PDE4 (Pharphodiesterase-4) Inhibitors• Roflumilast•
Antibiotics• Azithromycin/Erythromycin• Mucolytics and Antitoxin agents•
Carbocysteine and N-acetylcystine • Immunoregulator drugs
GOLD guidelines for copd 2022 - ANSWER spirometrically confirmed
diagnosis--> assessment airflow limitation-->assessment of symptoms risks/
factors
GOLD 1 FEV1 >=80
GOLD 2 FEV1 50-79
GOLD 3 30-49
GOLD 4 <30
>= 2 or >= 1 leading to hospital admission
0 or 1 (not leading to hospital admisison)
CAT assessment - ANSWER assessment of copd sx
initial pharmacological tx: all should have a SABA for relief - ANSWER
exacerbation risk: more exacerbations- >= 2 moderate exacerbations or >= 1
leading to hospitalization- apply the drugs to the clinical sx Group c- LAMA,
group d: LAMA or LAMA + LABA (CAT .20) or ICS + LABA (eos >= 300)
Few exacerbations: 0 or 1 moderate exacerbations not leading to hospital
admission
, group a: a bronchodilator SABA/ LABA, group B LABA or LAMA.
assess symptoms: mMRC 0-1, CAt ,10. fewer daily symptoms
mMRC .= 2, CAT >= 10 more daily symptoms
exacerbations: discrete episodes characterized by acute worsening of
symptoms (increased dyspnea, sputum volume, purulence) beyond usual
day-to-day variation and requiring intervention
commonly used maintenance medications in COPD- SABA and LABA -
ANSWER short acting:
salbutamol (albuterol)= onset of action 5 min
MDI & DPI inhaler- pill, syrup, ER tablet, pill, nebulizer, injection, duration of
action: 4-6 hrs, 12 hrs (ER)
long acting:
formoterol DPI inhaler- onset of action <= 12 min duration of action 12 hrs
salmeterol:MDI % DPi inhaler, - onset of action <20 min duration of action 12
hrs
COPD muscarinic antagonist- anticholintergics, LAMA - ANSWER ipratropium
broicde- inhaler type MDI, nebulizer, duration of action 6-8 hrs
tiotropium inhaler DPI, SMI, MDI, duratio of action 24 hrs
location/action: exocrine glands and smooth muscle, reverses increase in
secretions, smooth muscle contraction
Tiffany is a 25 year old presenting to the clinic for complaints of a headache.
The nurse practitioner diagnoses her with a tension headache. Which of the
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 Smooth. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79373 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now