CMN 568 UNIT 3 QUESTIONS AND ANSWERS
COMPLETE RATED A.
How do asthma reliever meds work?
Correct Answer -direct relaxation of bronchial smooth muscle
How do asthma controller meds work?
Correct Answer -attenuates airway inflammation to achieve and maintain
control of persistent asthma
What is cornerstone of treatment of persistant asthma?
Correct Answer -daily with inhaled corticosteroids
What should patient on inhaled corticosteroids be instructed to do after
use?
Correct Answer -wash mouth out to decrease local side effects and
systemic absorption
What local side effects of inhaled corticosteroids are common?
Correct Answer -cough, dysphonia, and oropharyngeal candidiasis
What systemic effects may occur with high dose inhaled corticosteroids?
Correct Answer -adrenal suppression, osteoporosis, skin thinning, easy
bruising, and cataracts
What is most effective in achieving prompt control of asthma during
exacerbations or when initiating long-term asthma therapy in pts with
,severe symptoms?
Correct Answer -systemic corticosteroids (oral or parental)
What type of dosing of systemic corticosteroids is preferred?
Correct Answer -alternate day dosing
Concurrent treatment with what should be initiated when prescribing long-
term systemic corticosteroids?
Correct Answer -vitamin D and calcium to reduce the risk of corticosteroid-
induced bone mineral loss
Bone mineral density testing after ____ months or more of systemic
corticosteroid lifetime use can guide the use of ____________ for tx. of steroid
induced osteoporosis
Correct Answer -3; bisphosphonates
What can rapid discontinuation of systemic corticosteroids induce?
Correct Answer -Adrenal insufficiency
How do mediator inhibitor Long acting bronchodilators work?
Correct Answer -Modulate mast cell mediator release and eosinophils
recruitment and inhibit both early and late asthmatic response to allergen
challenge and eib
What are 2 mast cell stabilizers?
Correct Answer -Cromolyn sodium and nedocromil
, Do mediator inhibitors long acting bronchodilators relieve asthma
symptoms once present?
Correct Answer -No
How long do LABAs provide bronchodilation for?
Correct Answer -12 hours
What are 2 LABAs?
Correct Answer -Salmeterol and formoterol
What are 2 LTRAs?
Correct Answer -Zafirlukast and montelukast
What type of vaccinations should patients with asthma receive?
Correct Answer -Pneumovax and flu
What vaccine has been associated with asthma exacerbations in young
children?
Correct Answer -Live intranasal flu
What is the most important intervention in reversing hypoxemia during a
moderate to severe asthma exacerbation?
Correct Answer -Administering supplemental oxygen
Airflow obstruction during a moderate to severe asthma exacerbation is
treated with what?
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