The 6th Vital Sign in Individuals with Chronic Obstructive Pulmonary Disease (COPD).
How many people are estimated to have undiagnosed COPD in the community?
What is than 50%
This disease is progressive.
What is COPD.
What is the overall aim of asthma management?
control airway inflammation
inpatient tool to determine severity of asthma exacerbation
What is Respiratory Assessment Criteria (RAC)
How is asthma control obtained?
Reduced exposure to triggers, self management education, written action plans, pharmacology tailored to the individual (Mondor et al., 2022).
What is the most common disabling symptom of COPD?
What is Dyspnea
What tool is used to confirm diagnosis of COPD or Asthma?
What is Spirometry.
What is the main medication treatment for the control of asthma?
inhaled corticosteroids
<88%
What is the oxygen level O2 is applied?
At the initial patient encounter, what two questions should the nurse ask the patient to supplement his/her knowledge about the patients asthmatic status?
1) Have you ever been told by a healthcare provider that you have asthma.
2) Have you ever used a puffer or inhaler or asthma medication for breathing problems?
(Mondor et al., 2022).
What is the quickest way to help a patient who is experiencing dyspnea?
What is Positioning
Amount of air that can be quickly and forcefully exhaled after maximum inspiration is called?
Forced vital capacity (FVC)
Why should spacers be used to deliver metered dose inhaler medication in all children with asthma??
(hint: 3 reasons)
-decreases the amount of coordination required
-improves the deposition into the lower airways which improves medication efficacy
-minimizes the risk for systemic absorption of steroids therefore, minimizing potential adverse effects
2-day Systemic steroid used to treat exacerbation
What is dexamethasone?
The patients asthma education plan should be developed with what in mind? There are 4 components in total, come up with 2.
1) Learning needs
2) Culture
3) Health Literacy
4) Empowerment
(Mondor et al., p. 653, 2022).
What are the common triggers of dyspnea in COPD?
physical exertion, respiratory infections, exposure to triggers (e.g., smoke, allergens), weather changes, emotional distress, and anxiety, among others (RNAO)
what is asthma
What is the acceptable frequency in nighttime symptoms for asthma control in children?
less than once a week
Moderate work of accessory muscles, increased RR, wheezing, no prolonged expiration, SpO2> 88% on supplemental O2 and no change in mental status
What is moderate asthma exacerbation
What teaching should the nurse include about checking how much medication is left in the metered dose inhaler (MDI)?
Shaking the canister is not reliable. The only reliable method of checking the fullness of the MDI is for the patient to count each puff as they use it. most canisters contain 200 doses, so if a patient uses 2 puffs, twice a day then the inhaler will last for 50 days.
At what age are COPD mortality rates increasing?
what is 75 years of age
Maximum airflow rate during forced expiration; aids in monitoring bronchoconstriction in asthma is called?
What is Peak expiratory flow rate (PEFR)
What class of medication is used on an “as needed basis” to relieve asthma symptoms??
short-acting ß2-agonists (rescue med)
Bonus if you give an example other than salbutamol!!
Green zone, yellow, zone, red zone
What are the 3 zones of an asthma action plan
What teaching should the nurse include when stressing the importance of using a spacer with a steroid inhaler?
The spacer will reduce the risk of developing a yeast infection in the mouth and throat and will also enhance the delivery of the medication to the child’s smaller airway.