NSG 6320 ADULT HEALTH

NSG 6320 ADULT HEALTH- ADULTS &
GERONTOLOGY WEEK 3 RESPIRATORY
COUGH STUDY GUIDE WITH QUESTIONS
AND ANSWERS GRADED A+



UACS signs and symptoms - CORRECT ANSWER- chronic cough,
sensation of drainage in the back of the throat,
clearing throat frequently,
hoarseness,
allergic rhinitis symptoms,
Chronic sinusitis symptoms,drainage on the posterior pharynx, hyperemia
and cobblestoning of the the posterior pharynx, negative chest exam


Asthma - CORRECT ANSWER- inflammation of the airways with varying
degrees of airway obstruction andhyper-responsiveness


Asthma Signs and symptoms - CORRECT ANSWER- intermittent chest
tightness, cough, shortness of breath, wheezing
Cough usually nonproductive,
deep respiratory effort may prompt cough,
often association with allergic rhinitis or atopic dermatitis


Asthma diagnostic studies - CORRECT ANSWER- PFT, spirometry
Peak flow not used for diagnosis, but to monitoring ongoing symptoms.

, COPD - CORRECT ANSWER- When younger patients or non smokers
present with COPD, consider alpha-1 antitrypsin deficiency


COPD - CORRECT ANSWER- Two related and often coexisting problems:
Chronic Bronchitis
Emphysema


COPD Signs and Symptoms - CORRECT ANSWER- Chronic Cough
Sputum production
Often hx of exacerbations
Frequent episodes of acute bronchitis
Lung sounds diminished
Barrel Chest
Acute Cough - CORRECT ANSWER- (less than 3 weeks)


Subacute Cough - CORRECT ANSWER- 3-8 weeks


Chronic Cough - CORRECT ANSWER- 8 or more weeks


Upper airway cough syndrome - CORRECT ANSWER- Chronic cough often
caused by postnasal discharge or drainage.




COPD diagnostic tests - CORRECT ANSWER- Sprirometry
GOLD staging I-IV