Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
H&C Resp NUR 235
| Question | Answer |
|---|---|
| Is COPD curable | NO |
| Is COPD preventable | YES |
| What other disorders does COPD include ? | emphysema, chronic bronchitits |
| Asthma is a risk factor for developing what ? | COPD |
| Can a person have both asthma and COPD | yes |
| At what age are symptoms of COPD usually presenting | middle age |
| what type of cells are produced as a result of inflammation in COPD ? | goblet cells |
| ________ is defines as athe unexplained presence of cought and sputum production for at least 3 months in each of 2 consecutive years | chronic bronchitis |
| Mucus in the airway reduces the function of what aparatus in the respiratory system ? | cilia |
| when are exacerbations of bronchitis likely to occur ? | in the winter months |
| ________ is impaired oxygen and coarbon dioxide from destruction of overdistended alveoli ? | emphysema p. 525 |
| what occurs if carbon dioxide elimination is impaired ? | hypercapnea , respiratory depression p. 525 |
| What is cor pulmonale | right sided heart failure due to increased pressure in pulmonary arteries |
| What is the leading risk factor for COPD ? | smoking |
| what are the risk factors for COPD ? | tobacco smoking, second hand smoke, increased age, occupational hazards, environmental exposures, air pollution, genetic abnormalities |
| What is the major genetic risk factor for COPD ? | alpha antitrypsin defiiciency |
| What are the 3 primary symptoms of COPD ? | chronic cough, sputum production and dyspena p. 527 |
| What chest shape is associated with COPD ? | barrel |
| What are the extrapulmonary manifestations of COPD ? | musculoskeletal wasting, metabolic disturbances |
| what position is typical for someone with COPD that helps them breath | tripod |
| What does spirometry do ? | measures airflow obstruction |
| What is the most accurate way to measure oxygenation | ABGs |
| What is Grade 1 COPD classified as ? | mild FEV1 > 80% predicted p. 529 |
| What is Grade 2 COPD classified as ? | moderate FEV1 50-79% of predicted |
| What is Grade 3 COPD classified as ? | severe , FEV1 30-49% of predicted |
| What is Grade 4 COPD classified as ? | very severe, FEV < 30% |
| What are symptoms of long standing hypoxia ? | fatigue, drowsiness, apathy, inattentiveness and delayed reaction time p. 530 |
| What is the major safety concern with oxygen ? | fire |
| How is low flow oxygen delivered in the home? | via nasal cannula |
| What is the max flow rate for nasal cannula ? | 6 L |
| what is the max flow rate for a NRB mask ? | 15 L |
| what is the goal saturation for a person with COPD ? | at or above 90% using the last amount of supplemental oxygen necessary |
| SABA or LABA ? Albuterol | SABA |
| SABA or LABA ? Levalbuterol | SABA (if it has "albuterol" in the name it is short acting) |
| When teaching the use of an inhaler what should the nurse inclucde ? | rinse and spit after use and clean the device after use |
| What suffix to LABAs have in their name ? | "TEROL" formoterol, samleterol etc. |
| What drug class is used for antimuscarinics ? | anti-cholinergics |
| Triple combination inhaler medications include what 3 components ? | ICS, LAMA, LABA |
| Vaccines are effective in preventing COPD exacerbations. True or False ? | True |
| What is generally a first sign of hypoxemia ? | confusion |
| What is the first line of treatment for an acute COPD exacerbation ? | oxygen therapy |
| Generally what is taught to COPD patients with regards to nutrition ? | ensure that they consume high protein, high calorie foods first (they fatigue early in meals) |
| What does pursed lip breathing do ? | helps slow respiration, prevents collapse of small airways and controls rate and depth of breathing p. 544 |
| what is recommended for a patient do to the air they breathe? | humidify it |
| True or False: patients with COPD should limit their exercise | False - thye should engage in exercise and conditioning and learn techniques to conserve energy p. 546 |
| What is a major concern for complication of COPD ? | respiratory infections, l |
| What vaccines should a person with COPD receive ? | flu, pneumonia, Covid, RSV |
| A person is considering moving to a climate that would help with managing their COPD. What type of climate should this be ? | one with minimal temperature extremes |
| how far away should oxygen be kept from other flammables ? | 15 feet |
| Where should the oxygen tank be placed when traveling in a vehicle ? | behind the front seat p. 548 |
| Asthma is characterized by ________________ airway _________________ | chronic, inflammation |
| Smoking is a _______________for asthma | trigger |
| Asthma is largely _______________whereas COPD is not. | reversible |
| What is the largest predisposing factor for developing asthma ? | allergies |
| What are common triggers for asthma ? | allergens, pollutants, cold, heat, weather changes, strong odors, smoke, occupational hazards , exercise, stress, hormonal factors, medications infections, GERD |
| Asthma leads to long term __________________of the airways | narrowing |
| during an asthma attack smooth muscle does what ? | contracts |
| What are the common symptoms of asthma ? | cough, chest tightness, dyspnea and wheezing |
| which type of wheeze presents itself first with asthma ? | expiratory |
| Central cyanosis is a late/early sign of asthma ? | late sign |
| What are the symptoms of exercise induced asthma ? | max symptoms during exercise, absense of nocturnal symptoms and sometimes describing "choking" sensation during exercise |
| What questions are asked during an assessment for asthma ? | Have you(r): symptoms awakened you at night or early morning? needed your quick-acting relief medication more than usual? needed unscheduled care for your asthma (ED visit) symptoms impacted your normal activities at school/work/sports? |
| During an acute episode of asthma blood counts might show what ? | eosiniphilia , elevated IgE |
| What ABG result shows initially in an asthma attack ? | respiratory alkalosis p. 552 |
| What are the complications of asthma ? | status asthmaticus, respiratory failure, pneumonia, and atelectasis |
| How is asthma control assessed ? | symptom management and future risk of adverse outcomes p. 553 |
| What two general classes of medications are used to control asthma ? | quick-relief medications for immediate treatment of asthma symptoms and exacerbations and long-acting medications to achieve and maintain control of persistent asthma |
| What are the quick relief meddicaiton treatments for asthma ? | SABAs, anticholinergics, systemic CS |
| What are the long term emdications for treatment of asthma ? | ICS, systemic corticosteroids, LABAs, LAMAs. leukotrienes, immunomodulators, IL5Rs |
| What do peak flow meters measure ? | highest airflow during forced expiration p. 557 |
| A patient asks why a peak flow meter is important. The nurse's best answer is: | measures athma severity, indicates degree of control, facilitates earlier detection of exacerbation |
Created by:
Kelly Quijano
Popular Nursing sets