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Exam (elaborations)

ANCC FNP Boards Study Guide with Complete Solutions

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ANCC FNP Boards Study Guide with Complete Solutions Chronic Bronchitis Hallmark Symptoms - Answer-Chronic productive cough Emphysema hallmark symptoms - Answer-wheezing and dyspnea How is COPD diagnosed? - Answer-Spirometry (FEV1/FVC ratio < 70%) COPD Group A - Answer-· 0-1 moderate exacer...

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  • October 15, 2024
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  • 2024/2025
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  • 2024/2025
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GraceAmelia
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ANCC FNP Boards Study Guide with
Complete Solutions

Chronic Bronchitis Hallmark Symptoms - Answer✔✔-Chronic productive cough


Emphysema hallmark symptoms - Answer✔✔-wheezing and dyspnea


How is COPD diagnosed? - Answer✔✔-Spirometry (FEV1/FVC ratio < 70%)


COPD Group A - Answer✔✔-· 0-1 moderate exacerbations but no hospitalization, CAT score <10


Treat with bronchodilator, typically LABA


COPD Group B - Answer✔✔-· 0-1 moderate exacerbations but no hospitalization, CAT score >10


Treat with LABA - LAMA


COPD Group E - Answer✔✔-· 2 or more moderate exacerbations or 1 exacerbation that leads to

hospitalization


Treat with LABA - LAMA + ICS


REFER THESE PATIENTS


LAMA - Answer✔✔-LAMA is long acting muscarinic antagonist; end in -pium like tiotropium;

anticholergic effects

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, GRACEAMELIA 2024/2025 ACADEMIC YEAR ©2024. ALL RIGHTS
RESERVED. FIRST PUBLISH OCTOBER, 2024

LABA - Answer✔✔-LABA: most have slower onset of action; however, formoterol is an

exception; used as a solo drug in group A and used in combination group B and E - COPD

patients


COPD mild exacerbation - Answer✔✔-SABA and oral steroid like prednisone


COPD Moderate exacerbation - Answer✔✔-SABA + antibiotics (macrolide or tetracycline)


COPD severe exacerbation - Answer✔✔-Send to the hospital!


Most common lung cancer symptom - Answer✔✔-chronic cough!


Pneumonia physcial exam findings - Answer✔✔-increased tactile fremitus and egophony


MAD pneumonic for pneumonia treatment - Answer✔✔-MAD pneumonic for healthy adults in

outpatient setting!


Macrolide, amoxicillin, and doxycycline


o Macrolides like azithromycin are great for mycoplasma pneumonia


o Amoxicillin - example is Augmentin


Treatment for adults with comorbidities or who have had antibiotics within the last 90 days -

Answer✔✔-Respiratory fluoroquinolone like levofloxacin (Levaquin)


§ Major boxed warning associated with fluoroquinolone is Achilles tendon rupture


o Combination therapy with Augmentin and a macrolide or doxycycline

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