Chronic Bronchitis
Classic COPD
Emphysema
Asthma
Medications
100
This is the worst time of year for patients with chronic bronchitis.
What is winter?
100
This is the greatest risk factor for COPD.
What is SMOKING?
100
Emphysema is commonly classified as this type of disorder.
What is obstructive?
100
Name at least 3 triggers of asthma.
What are dust mites, roaches, pet dander, pollen, stress or infections?
100
Morphine and other opioids may be effective in reducing a pts anxiety or acute dyspnea. They are reserved for this stage.
What is end stage?
200
This often heard upon auscultation and improves after coughing.
What is crackles and wheezing?
200
The most common classic symptom and is present in all 3 COPD disorders.
What is a COUGH or activity intolerance?
200
The most characteristic symptom of emphysema is this.
What is progressive SOB accompanied with activity intolerance?
200
It is an inflammation of the airways and hyperresponsiveness of smooth muscles.
What is Bronchospasm?
200
This type of bronchodilator is avoided if possible due to significant side effects.
What is Theophylline bronchodilator?
300
Complication from bronchitis.
What is pneumonia?
300
Air trapping that causes the lungs to be hyperinflated which leads to this classic sign of COPD.
What is a barrel chest?
300
Auscultation reveals this in a pt with emphysema.
What are diminished breath sounds?
300
Name at least 3 S/S of an asthma attack.
What are Wheezing, chest tightness, dyspnea, coughing, difficulty moving air in and out?
300
This class of meds should be avoided with COPD pts because they must be able to cough up secretions.
What are Antitussive agents?
400
This part of the lungs are afflicted with Chronic Bronchitis.
What is the bronchial tree and cilia?
400
COPD patients are usually seen striking this classic pose.
What is the tripod position?
400
A complication, described as large air spaces within lung tissue adjacent to pleurae are known as this.
(give name and location of both)
What are Bullae (lung tissue) and Blebs (Adjacent to pleurae)?
400
What are the 3 medications that should be avoided if it makes the asthma symptoms worse.
What are aspirin, NSAIDS, and beta blockers?
400
The action of this med is to dilate the bronchioles. Name the medication and the important education to give your patient.
What is albuterol and overuse can cause bronchospasm?
500
This common symptom distinguishes it from asthma.
What is a chronic productive cough?
500
In late stages a patient may experience this due to the constant use of accessory muscles and dyspnea.
(Can also be caused from the chronic hypoxia that releases chemicals.)
What is weight loss?
500
On an ABG panel showing high PaCO2 and low PaO2 this pt develops this in response to chronic hypoxemia.
Also explain what it does.
What is polycythemia? Ruddy skin color or cyanosis.
500
What are the two ominous signs that a pt is not moving enough air?
What is absence of audible wheezing and use of accessory muscles?
500
A budesonide inhaler is commonly used corticosteroid in COPD. These are the 3 important nursing measure/education.
What are Rinsing mouth after use, never discontinue abruptly, and monitor Blood glucose closely?