Exam 2 - NURS 620
Nicorette Gum
strength? indication? how to use?
nicotine (OTC)
Nicorette= 2g, Nicorette DS= 4g
ind: aid to smoking cessation for the relief of nicotine withdrawl symptoms
---pts who smoke >25/day should begin with 4mg, all other pts start with
2mg max pieces/day = 30, or 20 for DS
Chew oil soft and put into buccal mucosa
The first sign of an asthma exacerbation is:
Cough
According to the NAEPP-3 guidelines for the tx and management of asthma, what is the gold standard for daily tx of mild
persistent asthma?
IH steroids:Beclomethasone propionate (Qvar)Budesonide (Pulmicort)Budesonide/Formoterol (Symbicort) - a combination drug
that includes a steroid and a long-acting bronchodilator drug.Fluticasone (Flovent)Fluticasone inh powder (Annuity Ellipta)
You are treating an adult pt and reviewing her metered dose IH (MDI) technique. She demonstrates her MDI technique by shaking
the inhaler, putting it in her mouth, pressing the canister and inhaling quickly, what is your response?
You educate the patient that first, she should exhale fully, then shake the inhaler, and finally, as she presses the canister,
inhale slowly and fully
An adult pt with COPD presents to your office with one day of worsening SOB, wheezing and non productive cough. You
determine he has a COPD exacerbation. What is your tx plan?
7-10 days of prednisone spurt, Albuterol/atrovent IH 2 puffs aid
All of the following are useful in tx patients with COPD except:a. oral steroidsb. antihistaminesc. anticholinergicsd. short acting beta
2 agonists
Antihistamines
Which of the following is less likely to be found in a patient with emphysema dominant COPD?
A cough that is productive with large amounts of purulent sputum
You are tx a patient in your office who you suspect has chronic lung disease, but you are unsure if you should start treatment
today. What do you consider ordering first?
An office spirometry
You are treating an elderly patient with history of allergies. He has been coughing more at night for the past 6 weeks and
wheezing intermittently. He has no history of heart failure, smoking, or other lung disease. Your physical exam is unremarkable.
What are your differential diagnosis
Asthmapost nasal dripsinusitisGERD
25% of all upper respiratory infections are
bacterial infections
URIs include
bacterial infections (25%)Influenzacommon coldacute laryngitisacute epiglottisrespiratory syncytial virus (RSV)
URI Management
-discussion of antibiotics, oseltamivir, zanamiver-cough suppressants-rest-fluids-antipyretics
What often accompanies asthma?
This study source was downloaded by 100000860579690 from CourseHero.com on 07-03-2023 03:52:32 GMT -05:00
https://www.coursehero.com/file/24326058/StudyBlue-printing-of-Exam-2-NURS-620pdf/
Nicorette Gum
strength? indication? how to use?
nicotine (OTC)
Nicorette= 2g, Nicorette DS= 4g
ind: aid to smoking cessation for the relief of nicotine withdrawl symptoms
---pts who smoke >25/day should begin with 4mg, all other pts start with
2mg max pieces/day = 30, or 20 for DS
Chew oil soft and put into buccal mucosa
The first sign of an asthma exacerbation is:
Cough
According to the NAEPP-3 guidelines for the tx and management of asthma, what is the gold standard for daily tx of mild
persistent asthma?
IH steroids:Beclomethasone propionate (Qvar)Budesonide (Pulmicort)Budesonide/Formoterol (Symbicort) - a combination drug
that includes a steroid and a long-acting bronchodilator drug.Fluticasone (Flovent)Fluticasone inh powder (Annuity Ellipta)
You are treating an adult pt and reviewing her metered dose IH (MDI) technique. She demonstrates her MDI technique by shaking
the inhaler, putting it in her mouth, pressing the canister and inhaling quickly, what is your response?
You educate the patient that first, she should exhale fully, then shake the inhaler, and finally, as she presses the canister,
inhale slowly and fully
An adult pt with COPD presents to your office with one day of worsening SOB, wheezing and non productive cough. You
determine he has a COPD exacerbation. What is your tx plan?
7-10 days of prednisone spurt, Albuterol/atrovent IH 2 puffs aid
All of the following are useful in tx patients with COPD except:a. oral steroidsb. antihistaminesc. anticholinergicsd. short acting beta
2 agonists
Antihistamines
Which of the following is less likely to be found in a patient with emphysema dominant COPD?
A cough that is productive with large amounts of purulent sputum
You are tx a patient in your office who you suspect has chronic lung disease, but you are unsure if you should start treatment
today. What do you consider ordering first?
An office spirometry
You are treating an elderly patient with history of allergies. He has been coughing more at night for the past 6 weeks and
wheezing intermittently. He has no history of heart failure, smoking, or other lung disease. Your physical exam is unremarkable.
What are your differential diagnosis
Asthmapost nasal dripsinusitisGERD
25% of all upper respiratory infections are
bacterial infections
URIs include
bacterial infections (25%)Influenzacommon coldacute laryngitisacute epiglottisrespiratory syncytial virus (RSV)
URI Management
-discussion of antibiotics, oseltamivir, zanamiver-cough suppressants-rest-fluids-antipyretics
What often accompanies asthma?
This study source was downloaded by 100000860579690 from CourseHero.com on 07-03-2023 03:52:32 GMT -05:00
https://www.coursehero.com/file/24326058/StudyBlue-printing-of-Exam-2-NURS-620pdf/
