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Asthma review 220
| Question | Answer |
|---|---|
| Ineffective when wheezing is present, and taken daily to prevent asthma attacks | Cromolyn sodium |
| Rapid acting bronchodialator and often given by aerosol during acute attack | Albuterol |
| Effectiveness depends on maintaining optimum serum level and common side effects are restlessness and vomitting | Theophilline |
| Decreases swelling in mucous membranes and side effects include fluid retention and mood alteration | D. Corticosteroids |
| Corticosteriods and bronchiodialtors are often used together to treat asthma, why? | corticosteriods are antiinflammatory agents that decrease swelling in inflammed tissues in the inner lumen of the air way and bronciodilaters relax the smooth muscle that surrounds the bronchi and broncioles in the airway |
| What are the signs and symptoms of asthma? | wheezing, dry cough, prolonged expiration, restlessness, fatigue, tachypnea, chronic use of accessory muscle leads to barrel check |
| Nursing assessment for asthama | Cyanosis, marked respiratory distress, wheezing |
| What are some asthma clinical therapys | humidifed oxygen, IV access, fluid replacement, position in high fowlers, cluster care, medication use bronchodialators and anti inflammatory agents |
| Obstructive disease of the airway, reactive airway disease | Asthma |
| Asthma is produced by what triggers? | allergic hyperrespnsiveness of the trachea and bronchi to irritants. (Tiggers don't cause the asthma, just cause the falre up) |
| What is the most common chronic disease in childhood? | Asthma Number one cause of kids missing school, 5 million affected in US |
| Asthma is characterized by what? | reversible hyperactivity of the bronchi and trachea |
| What are some common irritants of Asthma? | viral infections, rapid changes in enviromental temperature, exercise, psychological stress, allergens (molds, insects spores, odors, dust, weather changes, foods, exercise, cold air, chemicals, cigarette smoke, URI, rhinitis, perfumes) |
| The absense of wheezing in combination with signs and symptoms of respiratory distress is indicative of | impending respiratory failure |
| Describe an acute asthma attack | increased anxiety, sweating, short of breath, use of accessory muscles, increased end expiratory phase, presences of adventitious breath sounds. |
| What are ways to diagnose Asthma? | pulmonary function teste, PEFR Peak expiratory flow rate, CXR, CBC,ABG(co2 retention and acidosis), sputum collection, and skin testing (for allergy) |
| PEFER peak expiratiory flow rate test does what? | reflects the degree of airway obstruction in the large airways and correlates with the degree of small airway obstruction. |
| Why is skin testing done for Asthma? | for allergy |
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4LSUFootball