Asthma - CORRECT ANSWER Chronic inflammatory disorder characterized by episodes of
airway inflammation.
Status Asthmaticus - CORRECT ANSWER Severe
... [Show More] asthma attack that does not respond to
standard treatment.
Medical emergency!!
Asthma (Assessment) - CORRECT ANSWER Wheezing
Cough
Dyspnea
Chest tightness
A client with asthma has a sudden decrease in wheezes.... What does this indicate? - CORRECT
ANSWER Airways are closing and causing diminished breath sounds.
Less ventilation is able to occur.
This is NOT good!
Asthma ABGs - CORRECT ANSWER Patient experiencing inflammation in the airways will
retain CO2, putting them in respiratory acidosis.
Remember PCO2 levels are 35 - 45; theirs will be increased.
The nurse is teaching a client with chronic obstructive pulmonary disease (COPD) how to
administer multiple medications by inhalation. Which statement by the client indicates an
understanding of the instruction? Select all that apply.
a. "If my symptoms get worse, I can double my dosage."
b. "I will wait at least 1 minute between use of my different inhalers."
c. "I should consult my prescriber before using over-the-counter medications."
d. "I cannot rinse my inhaler equipment because it is not supposed to get wet."
e. "I should store my inhaler in the refrigerator door between uses." - CORRECT ANSWER
Answer: B, C; The client should wait at least 1 minute between inhalations. OTC products
should not be added without consulting the prescriber. Dosages should be taken exactly as
prescribed. Inhaler equipment should be cleaned with mild soap, rinsed, and dried daily. The
inhaler should be stored at room temperature.
A client reports nervousness and tremors after beginning drug therapy with salmeterol. Which
statement by the nurse is most appropriate?
a. "The symptoms are common at first, but decrease over time."
b. "Stop taking the medicine because the symptoms will only get worse."
c. "Drinking coffee or tea will help decrease the symptoms."
d. "Those symptoms indicate a worsening of the disease process." - CORRECT ANSWER
Answer: A; Nervousness and tremors might be experienced when salmeterol (a beta-agonist) is
newly administered, but they frequently decrease over time. Clients should not terminate
medication use without consulting the prescriber. Caffeine would exacerbate the problem. The
symptoms are likely related to the medication, and not to the disease process.
Asthma (Pharmacological Management) - CORRECT ANSWER * Bronchodilators (SABAs)
- Albuterol (ProAir)
- Levalbuterol (Xopenex)
*Bronchodilators (LABAs)
- Salmeterol (Serevent)
- Formoterol (Perforomist)
*Cholinergic Antagonist
- Ipratropium (Atrovent)
- Tiotropium (Spiriva)
*Corticosteroids
- Fluticasone (Ellipta)
- Beclomethasone (Qvar)
- Prednisone PO
True/False
Long-Acting Beta Antagonists should be used as an emergency in the situation that the client is
having an asthma attack. - CORRECT ANSWER FALSE
LABAs are PROPHYLACTIC.
Should be used daily regardless of asthma activity.
LABAs - CORRECT ANSWER Sameterol
Formoterol
Used as maintenance to prevent asthma attacks.
Treatment of choice for acute episode of asthma? - CORRECT ANSWER SABAs and
corticosteroids.
COPD - CORRECT ANSWER Chronic Obstructive Pulmonary Disease.
Inflammatory lung disease.
Results be chronic exposure to irritants such as smoke, pollution, etc. [Show Less]