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CMN 568 - Unit 3 (Chronic Respiratory Conditions) Questions and Answers Latest Updated
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CMN 568 - Unit 3 (Chronic Respiratory Conditions)
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CMN 568 - Unit 3 (Chronic RespiratoryConditions)
ICS - Define and describe - answer Inhaled Corticosteroid
Example:
Low-dose = Budesonide inhaled suspension for nebulizer OR Fluticasone HFA/MDI, or
Beclomethasone
SABA - Define and describe - answer Short-Acting Beta Agonist
Examples: Albuterol
LABA - Define and describe - answer Long-Acting Beta Agonist.
Example: Salmeterol (Advair), Formoterol
NEVER USE ALONE IN TX FOR ASTHMA! (Associated with increased deaths.) Always
use with ICS!
LTRA - Define and describe - answer Leukotriene Receptor Agonist
Example: Montelukast (Singular)
LAMA - Define and describe - answerLong-Acting Muscarinic Antagonists
EXAMPLE: Tiotropium
SAMA - Define and describe - answer Short-Acting Muscarinic Antagonists
EXAMPLE: ipratropium
PFT - Define and describe – answer PFT: pulmonary function test
PEF - Define and describe - answerPEF: peak expiratory flow
FEV1 - Define and describe - answerForced Expiratory Volume in 1 second
When you take a deep breath and blow out as fast and hard as you can, the volume of
air you were able to blow out in 1 second is your FEV1.
MDI - Define and describe - answerMDI: multi-dose inhaler
DPI - Define and describe - answerDPI: dry powder inhaler
COPD - Define and describe - answerCOPD: chronic obstructive pulmonary disease
, GOLD - Define and describe - answerGlobal Initiative for Obstructive Lung Disease --
Tool for classifying severity of COPD
ABX for COPD patients - answerazithromycin and moxifloxicin are important ones for
pts who have frequent exacerbations
page 266 in McPhee
In the GOLD reference for COPD on page 6, it gives recommendations for medications.
For a pt in the B category it says the recommend a LABA or LA anticholinergic. Are we
supposed to give the LABA without a combo of ICS? - answerLABA can be used alone
in COPD, but not asthma. If you read on page 265 in McPhee, it references that there
are no increases in exacerbations and mortality as seen in asthma patients when
salmeterol is used alone. That being said, combination drugs are often more effective
than regimens of single drugs. Also, ICS alone should not be considered first line
therapy for stable COPD. Just remember COPD and asthma use similar drugs but
aren't treated the same.
How do you treat LTBI? - answer(Herf BBB presentation)
What tool do you use to score asthma severity when a patient is first seen? -
answerClassification of Asthma Severity chart --
1) Use it when first seeing patient AND
2) Use it on follow up to determine if they are well-controlled on their present
medications.
You decide if you need to "Step up" or "Step down" or just maintain their current
treatment based on how well they are controlled. If you assess a patient as having mild
persistent asthma initially and they come back for follow-up and are well-controlled (only
have symptoms <2 days a week, etc), that just means they are on the correct treatment.
It doesn't change their severity to intermittent.
(Herf forum)
What tool is used to determine how to begin treating a patient's asthma? - answerStep-
wise Treatment chart to decide which "step" of treatment is needed and initiate
medications.
(Herf forum)
What is the "atopic triad"? - answerAtopy (atopic syndrome) is a syndrome
characterized by a tendency to be "hyperallergic". A person with atopy typically presents
with one or more of the following:
1) eczema (atopic dermatitis),
2) allergic rhinitis (hay fever), or
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