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robbypowell's version from 2017-05-01 03:41

Pulmonary Disease

Question Answer
______ is a chronic inflammatory disorder of the airway associated with airway hyper responsiveness to stimuli resulting in bronchial edema and narrowing or bronchial airwaysAsthma
In asthma, exposure to a trigger releases _____ and ________s that result in: bronchospasm, mucous hypersecretion, and diminished ciliary motion Histamine & Cytokines
Triggers of asthma can be extrinsic or intrinsic... _______ accounts for over 50% of cases (and >90% of children cases)Exctrinsic
_____ asthma occur after the age of 30 (typically) and can be triggered by smoke, respiratory infections, cold air, anxiety, stress and GERDIntrinsic
50-60% of extrinsic asthma patients show elevated Ig___ levelsIgE (associated with allergic response and mast cell degranulation)
1 in ____ americans have been diagnosed with some form of asthma (Extrinsic, Intrinsic, Exercise-Induced or Infectious)1 in 9
Death rate from Asthma is ____ per 1000 people0.15 per 1000
Asthma is more common in (which gender), (which race), & (which age group)?Women, African Americans & >65 yo
Is Asthma with daytime symptoms 2x or less a week considered (Controlled or unControlled)?
Is Asthma with daytime symptoms More than twice a week considered (Controlled or Uncontrolled)?
t/f: Asthma with Nocturnal symptoms is not considered controlledtrue
t/f: Asthma with Limitations of patient's actions is not considered controlledtrue
Rescue Inhalers for Asthma Attacks are (selective/non-selective) (alpha/beta) (agonists/antagonists)B2 Selective Agonists
Albuterol, Levalbuterol, & Metaproterenol are all _____ (long/short) acting B2 agonistsShort
Arformoterol, formoterol, & Salmeterol are all _____ (long/short) acting B2 agonistsLong
In terms of oral health care, what type of supplements should be prescribed to patients on B2 agonists for asthma?Fluoride
What is a way that patients on rescue inhalers can minimize the oral complications from rescue inhalers?rinse mouth after inhaler use
Vasoconstrictors should be used judiciously on asthma patients... avoid local anesthesias containing ____ ____Sodium Meta-bi-sulfite
The use of _____ (antibiotic) and ______ should be avoided by patients taking TheophyllineErythromycin & barbiturates
Vasoconstrictors should be avoided for patients on B2 agonists for asthma, why?they add to the effect of B2 agonists
Macrolide Antibiotics and Barbiturates can have drug interactions with what Methylxanthine asthma drug?Theophylline
______ is a o Preventable resp disorder that involves airway obstruction that is not fully reversible → chronic bronchitis, peripheral airway disease, emphysemaCOPD (Chronic Obstructive Pulmonary Disease)
COPD is the ____th leading causing of death in the US4th
which pulmonary condition...? o chronic inflammation causes narrowing of the small airways that decreases airway flow and destroys lung parenchyma and alveolar wallsCOPD
COPD has what effect on elastic recoil?decreases (diminishing ability of airways to remain open during expiration)
Hereditary deficiency of what is associated with increased risk of developing COPD?alpha-1-antitrypsin
_____ is the clinical test value for the maximal amount of air you can forcefully exhale in one second.FEV1
what chair position is best for patients with COPD?upright
what can be used clinically to monitor patients' O2 saturation? (useful for more sever COPD patients especially)Pulse Oximeter
"blue bloaters" are associated with what specific pulmonary condition? "pink puffers" associated with what specific pulmonary condition?blue bloaters = Chronic Bronchitis; pink puffers = Emphysema
t/f: you should be cautious about using nitrous oxide to manage stress on patients with COPDtrue (BZD better choice)
t/f: you should be cautious about using benzodiazepine to manage stress for COPD patientsfalse (be cautious about Nitrous)
____ _____ is a Disease of exocrine gland function that primarily involves the upper and lower airways, pancreas, GI and reproductive systemsCystic Fibrosis
what microbe is responsible for tuberculosis?Mycobacteium tuberculosis
What diagnostic test is the first line of defense for differentiating between Latent TB and Active TB disease state?Chest X-ray
____ _____ _____ is a condition in which the flow of air pauses or decreases during breathing while asleep because the airway has become narrowed, blocked, or floppyObstructive Sleep Apnea
What is usually more effective for treating Sleep Apnea... CPAP or Oral Appliances (MADs)? Which are usually preferred by patients?CPAP more effective; MADs preferred
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