QUESTIONS WITH FULL SOLUTIONS
GRADED A+
◉ Prevention of Repiratory Complications Post-Op: . Answer:
Incentive Spirometry, Deep Breathing, Coughing
◉ Teaching for patients taking corticosteroids . Answer: It is
important to instruct patients that oral and nasal inhalations are not
interchangeable. In people with asthma who are taking an oral
corticosteroid, it is necessary to reduce the oral dosage slowly (over
weeks to months) when an inhaled corticosteroid is added.
◉ Management of Asthma Exacerbation . Answer: Quick-acting
beta2-adrenergic agonist medications are first used for prompt
relief of airflow obstruction. Systemic corticosteroids may be
necessary to decrease airway inflammation in patients who fail to
respond to inhaled beta-adrenergic medications. In some patients,
oxygen supplementation may be required to relieve hypoxemia
associated with moderate to severe exacerbations. In addition,
response to treatment may be monitored by serial measurements of
lung function.
, In the emergency setting, the patient is treated initially with a short-
acting beta2-adrenergic agonist and subsequently a short course of
systemic corticosteroids, especially if the patient does not respond
to the short-acting beta2-adrenergic agonist
◉ Steps for Metered-Dose Inhaler . Answer: 1. Shake well
immediately before each use.
2. Remove the cap from the mouthpiece.
3. Exhale to the end of a normal breath.
4. With the inhaler in the upright position, place the mouthpiece just
inside the mouth, and use the lips to form a tight seal or hold the
mouthpiece approximately two finger widths from the open mouth.
5. While pressing down on the inhaler, take a slow, deep breath for 3
to 5 seconds, hold the breath for approximately 10 seconds, and
exhale slowly.
6. Wait 3 to 5 minutes before taking a second inhalation of the drug.
7. Rinse the mouth with water after each use.
8. Rinse the mouthpiece and store the inhaler away from heat.
9. If you have difficulty using an inhaler, ask your provider about a
spacer device (a tube attached to the inhaler that makes it easier to
use).
◉ Status Asthmaticus Definition . Answer: Status Asthmaticus: The
term status asthmaticus is sometimes used to describe rapid onset,