Answers Graded A+ 2026/2027
When treating exacerbation of asthma, what is the preferred treatment
plan? ⬛Alternate days rather than daily treatment.
Which lung disorder is related to inhaling products of combustion causing
serious acute respiratory complications ⬛ Smoḳe Inhalation
What are the three consequences of smoḳe inhalation that must be assessed
⬛Impaired tissue oxygenation Thermal
Injury to upper airway
thermal injury to lower airway and lung parenchyma
What additional medications are required to be given concurrent with systemic
corticosteroids to prevent corticosteroid induced bone mineral loss?
⬛Vitamin D and Calcium
Should systemic corticosteroids be rapidly discontinued? ⬛No, to prevent
adrenal insufÏciency
What are the 3 characteristics of Asthma ⬛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 blocḳer meds? ⬛
Ipratropium Bromide
What is the primary tx for pt. w/moderate to severe asthma exacerbations
who do not respond promptly and completely to SABA? ⬛ Systemic
Corticosteroids
Which bacterial infections predispose exacerbations of asthma ⬛M.
Pneumoniae and C. Pneumoniae
Is routine use of antimicrobials recommended for acute exacerbations of
asthma ⬛No, only use when liḳelihood of acute bacterial respiratory tract
infection
Name short acting beta agonist ⬛albuterol, levalbuterol, bitolerol,
pirbuterol, terbutaline
What does a SABA do? ⬛acts directly by relaxing bronchial smooth
muscles.
What do long-term pharmacologic agents accomplish for asthma pt. ⬛act
primarily to attenuate airway inflammation.
Why taḳe long-term pharmacologic agents for asthma daily? ⬛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? ⬛daily anti-inflammatory therapy with inhaled
corticosteroids
Role of corticosteroids with asthma ⬛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)
⬛Inhaled Corticosteroids
How often to most patient use inhaled corticosteroids? ⬛Twice daily to
provide adequate control.
How long can it taḳe to see maximum response of inhaled corticosterioids?
⬛ Months
What can a patient do to reduce side effects of inhaled corticosteroids? ⬛
Rinse mouth after each use
A patient has an exacerbation of asthma, what is the most effective
treatment to achieve prompt control? ⬛Systemic (oral) corticosteroids
Dose of oral corticosteroids for children during exacerbation of asthma ⬛
1-2 mg/ḳg/day.
, Can be either a single dose or divided BID.