obstructive pulmonary disorders

Question 1

chronic inflammatory process
ineffective perfusion
reversible

Answer 1

asthma

Question 2

severe asthma attack

unresponsive to usual treatment

Answer 2

status asthmaticus

Question 3

what pt should not be given b2 adrenergic agonist

Answer 3

h/o cardiac disorders

Question 4

SABA for asthma

rescue med

Answer 4

albuterol inhaler

Question 5

LABA for asthma

daily preventative med

Answer 5

salmeterol inhaler

Question 6

what should always be paired with salmeterol inhaler

Answer 6

fluticasone (inhaled corticosteroid)

Question 7

methylxanthine for asthma

narrow therapeutic index: 10-20

Answer 7

theophyllin

Question 8

what should always be given with ipratroprium

Answer 8

albuterol inhaler

Question 9

short acting anticholinergic to stop asthma attack

Answer 9

ipratroprium

Question 10

long acting anticholinergic to prevent asthma attack

Answer 10

tiotroprium

Question 11

early v late phase asthma

Answer 11

early: brochoconstriction and increased mucus
late: inflammation

Question 12

side effects albuterol inhaler

Answer 12

increased HR
increased bp
jittery feeling

Question 13

toxic level theophylline

Answer 13

above 24

Question 14

what deficiency manifests like COPD

Answer 14

alpha antitrypsin deficiency

Question 15

2 components COPD

Answer 15

• chronic emphysema

- chronic bronchitis

Question 16

S+S emphysema “pink puffer” (5)

Answer 16

• pursed lip breathing
• barrel chest
• clubbed nails
• hypercapnia = pink flush
• orthopnea (sleeps with lots of pillows)

Question 17

S+S chronic bronchitis “blue bloater” (3)

Answer 17

• hypoxia (cyanosis)
• increased hemoglobin
• increased mucus

Question 18

loss of surface area of alveoli because of blebs/bullas

Answer 18

emphysema

Question 19

complication COPD

Answer 19

cor pulmonale

Question 20

what is the drive to breathe for COPD pts

Answer 20

decreased oxygen

Question 21

antibiotic for COPD

Answer 21

azithromycin