Asthma Quizzes Online & Trivia

1. Handihaler whirls when used correctlyThe aerochamber whistles when inspiration is too strong The turbuhaler does not whistle but the red replica does. This is used prior to prescription to determine if the patients has adequate strength of inhalation. The handihaler whirls when inhalation strength is correct. The volumatic spacer valve should click on each inhalation and exhalation The MDI has no sound in-built to indicate incorrect use

Asthma and bronchitis are both disorders that occur in the respiratory system of the human body. They can concern the bronchioles, bronchi, lungs, and another respiratory tract of the body. These diseases have to do with the bronchial tubes, and they should be well taken care of so as not to make things more complicated. The bronchial tube can become more restricted due to the inflammation or production of mucus that occurs. These two diseases have some similarities, but they are actually different. Bronchitis occurs due to respiratory infection or cold. The disease is actually curable, but when it's not well taken care of, it can be more eminent and advance to what is called chronic bronchitis. For asthma, along with emphysema, are classified under the Chronic Obstructive Pulmonary Disease (COPD). It is a permanent disorder, and the origin of the infection is not as known as that of bronchitis. It is elaborated to be of two types; intrinsic and extrinsic asthma.

High dose inhaled corticosteroid (such as fluticasone, budesonide, or triamcinolone) Salmeterol (a long acting beta agonist) Omalizumab (an immunomodulator) Predisone (an oral steroid) Reassess in 1-4 weeks

1. resonant sounds.- when percussing the chest wall, the nurse expects to elicit resonant sounds low-pitched, hollow sounds heard over normal lung tissue. hyperresonant sounds indicate increased air in the lungs or pleural space; theyre louder and lower pitched than resonant sounds. although hyperresonant sounds occur in such disorders as emphysema and pneumothorax, they may be normal in children and very thin adults. dull sounds, normally heard only over the liver and heart, may occur over dense lung tissue, such as from consolidation or a tumor. dull sounds are thudlike and of medium pitch. flat sounds, soft and high-pitched, are heard over airless tissue and can be replicated by percussing the thigh or a bony structure.

1. swelling of the bronchial mucosa, with wheezes starting on expiration and spreading to continuous.-bronchi normally expand and lengthen during inspiration and shorten during expiration. asthma causes spasm of the smooth muscles in the bronchi and bronchioles, resulting in an even tighter airway on exhalation and prolonged exhalation. inspirations increase in rate in an effort to relieve hypoxia. at the beginning of the attack, the cough is nonproductive and results from bronchial edema. then the mucus becomes profuse and rattly, with a cough producing frothy, clear sputum. gas trapping is the central feature of asthma. it is caused by allowing more air to enter alveoli than can escape from them through the narrowed airways. gas trapping also causes an increased depth and rate of respirations. the wheeze starts during the expiratory phase because of the extreme narrowing of the bronchus on exhalation. as obstruction increases, wheezes become more high pitched and continuous.

Mild Persistent

Controlling asthma through the correct treatment plan for each individual, assessing control level each time patient is seen

1. oral prednisone-evaluation of lung function through spirometry or measurement of peak expiratory airflow is useful in assessing the severity of the asthmatic attack and the response to treatment. some patients respond rapidly to an intensive bronchodilator regimen and will not require hospital admission. any patient who had an asthma exacerbation severe enough to require emergency care should have their anti-inflammatory (i.e., controller) medications increased when discharged. for most patients, a home treatment program should include a brief course of glucocorticoids. the routine use of oral glucocorticoids for 1 week after discharge from the emergency department reduces the rate of relapse in patients treated for an acute asthma exacerbation. some patients experience only slight, gradual improvement despite repeated administration of potent bronchodilators. in these cases, the airway obstruction may be accompanied by inflammation and edema of the airways, as well as by excessive mucus secretions. all patients should have a follow-up examination with their primary care provider or asthma specialist within 1 week of discharge. although the patient may still be on a systemic glucocorticoid at this time, it is important to remember that the asthma exacerbation occurred because of ineffective control of the underlying airway inflammation. thus, an increase in anti-inflammatory medication would be warranted, as well as intensive asthma education, which is not often given during the emergency department visit.

All of the above is true

Candida InfectionCandida infection risk is only increased when using steroid based inhalers Hoarseness of breath and throat irritation and soreness can occur with all inhaled medications Some inhalers require less inspiratory strength than others (e.g. Handihaler) but there are still cases of patients being unable to use inhalers. Some inhalers are simpler to use thant others (MDI simpler than Accuhaler) but all can prove difficult to use in the very elderly/young/those with hand disorders.

Albuterol-for a patient with intermittent asthma, the most appropriate treatment would be a short acting beta agonist, such as albuterol. fluticasone, budesonide (not listed), and triacinolone are inhaled corticosteroids (ics) and are given for patients with mild -severe persistent asthma (dose increases with severity) salmeterol is a long acting beta agonist which is combined with an ics to treat moderate persistent asthma omalizumab is an immunomodulator and should be considered in cases of severe persistent asthma

1. Ipratropium Bromide-turbuhaler2. Tiotropium Bromide-white MDI inhaler3. Ipratropium bromide-HandihalerIpratropium Bromide is currently only administered by a white MDI Tiotropium Bromide is currently only administered by a Handihaler