CMN568/ CMN 568 (Latest 2024/ 2025) Intro to Family NP Unit 3 Exam Questions and Verified Answers| 100% Correct| Grade A What are the 3 characteristics of Asthma - ANSWER Bronchoconstriction Airway Inflammation Reversible airflow limitation Which inhaled anticholinergic is best used for asthma pt. w/an intolerance to beta agonist or w/ bronchospasms due to beta blocker meds? - ANSWER Ipratropium Bromide What is the primary tx for pt. w/moderate to severe asthma exacerbations who do not respond promptly and completely to SABA? - ANSWER Systemic Corticosteroids 1 / 4
Which bacterial infections predispose exacerbations of asthma - ANSWER
- Pneumoniae and C. Pneumoniae
Is routine use of antimicrobials recommended for acute exacerbations of asthma - ANSWER No, only use when likelihood of acute bacterial respiratory tract infection Name short acting beta agonist - ANSWER albuterol, levalbuterol, bitolerol, pirbuterol, terbutaline What does a SABA do? - ANSWER acts directly by relaxing bronchial smooth muscles.What do long-term pharmacologic agents accomplish for asthma pt. - ANSWER act primarily to attenuate airway inflammation. 2 / 4
Why take long-term pharmacologic agents for asthma daily? - ANSWER to achieve and maintain control of persistent asthma independent of symptoms.What does the NAEPP recommend as the cornerstone of daily treatment of persistent asthma? - ANSWER daily anti-inflammatory therapy with inhaled corticosteroids Role of corticosteroids with asthma - ANSWER Reduce inflammation (acute and chronic) = improved airflow, decreased airway hyper- responsiveness and fewer asthma exacerbations, and potentiate the action of beta-adrenergic agonist.1st. line treatment agent for all pt w/persistent asthma (long term controller) - ANSWER Inhaled Corticosteroids How often to most patient use inhaled corticosteroids? - ANSWER Twice daily to provide adequate control. 3 / 4
How long can it take to see maximum response of inhaled corticosterioids? - ANSWER Months What can a patient do to reduce side effects of inhaled corticosteroids? - ANSWER Rinse mouth after each use A patient has an exacerbation of asthma, what is the most effective treatment to achieve prompt control? - ANSWER Systemic (oral) corticosteroids Dose of oral corticosteroids for children during exacerbation of asthma - ANSWER 1-2 mg/kg/day.Can be either a single dose or divided BID.MAX 60 mg/day Dose of oral corticosteroids for adults during exacerbation of asthma - ANSWER 40-60 mg/day
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