Which of the following asthma therapies does NOT directly target bronchoconstriction? Question 17 options: corticosteroids anticholinergics leukotriene inhibitors beta-adrenergics
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Which of the following asthma therapies does NOT directly target bronchoconstriction?
Question 17 options:
corticosteroids
anticholinergics
leukotriene inhibitors
beta-adrenergics
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- Which of the following is not a condition the given drug structure is used for? a Bronchoconstriction b Hypertension c Hemorrhagic situation d HypotensionWhich statement concerning the clinical manifestations of asthma is CORRECT? Question 18 options: tachypnea is common and can cause respiratory failure hypoxemia may occur as distal airways narrow bradycardia is a normal homeostatic response to SOB decreased vascular permeability leads to laryngeal edemaJoe Ritter, a 74-year-old retired bricklayer, has a 40-pack-year tobacco history and a history of chronic obstructive pulmonary disease (COPD). Today, he presents to the emergency department with reports of shortness of breath and difficulty breathing. He in respiratory distress with retracting respirations of 26 breaths/min, BP is 154/76 mm Hg, pulse is 120 beats/min, and temperature is 37°C. His skin color is pale gray, his chest is barrel-shaped, and he uses accessory muscles to breathe; he appears anxious and is sitting in a tripod position. His nail beds are bluish in color; his oxygen saturation by pulse oximetry is 72%. Chest auscultation reveals wheezes and decreased-to-absent breath sounds in bilateral bases. Hyperresonance is noted upon chest wall percussion. Chest x-ray showed atelectasis bilaterally in the bases. Mr. Ritter coughs with minimal amounts of clear sputum. (Learning Objectives 5 and 8) What is the pathophysiology related to this disease process in the aging…
- Asthma and COPD drugs include both bronchodilators and anti-inflammatory drugs drug. Pair the right type of drug with each group. β2-agonists Anti-inflammatory Glucocorticoids Bronchodilators Anticholinergics Bronchodilator Sodium cromoglycate Anti-inflammatoryJoe Ritter, a 74-year-old retired bricklayer, has a 40-pack-year tobacco history and a history of chronic obstructive pulmonary disease (COPD). Today, he presents to the emergency department with reports of shortness of breath and difficulty breathing. He in respiratory distress with retracting respirations of 26 breaths/min, BP is 154/76 mm Hg, pulse is 120 beats/min, and temperature is 37°C. His skin color is pale gray, his chest is barrel-shaped, and he uses accessory muscles to breathe; he appears anxious and is sitting in a tripod position. His nail beds are bluish in color; his oxygen saturation by pulse oximetry is 72%. Chest auscultation reveals wheezes and decreased-to-absent breath sounds in bilateral bases. Hyperresonance is noted upon chest wall percussion. Chest x-ray showed atelectasis bilaterally in the bases. Mr. Ritter coughs with minimal amounts of clear sputum. (Learning Objectives 5 and 8) Nursing Diagnosis 1: Goals: (Expected Outcome, long and short term)…1. What is the disorder of this 17-year-old student? Why? 2. Is this primarily a restrictive or an obstructive disorder? Why? 3. Write the formula for determining residual volume (RV). 4. Determine the residual volume (RV) before and after the use of the bronchodilator. a. RV before using the bronchodilator: b. RV after using the bronchodilator: 5. Why is expiration more difficult than inspiration in this person? 6. What does the change in pulmonary function after the bronchodilator therapy indicate? 7. Why does the bronchodilator exaggerate the tachycardia? 8. What causes the hypoxemia and the hypocapnia in this person? 9. A beta 2-adrenergic agent was prescribed for further use because it has less cardiostimulatory (beta1) effect. Based on your knowledge of beta1 and beta2 receptors, why is this a good suggestion? 10. An anticholinergic agent was also suggested as a possible nebulizer agent. How might this help the breathing problem?
- Scenario 1: Mr. Pickwick has obstructive sleep apnea, and the doctor has ordered him to be placed on BiPAP at the following settings: mode, S/T; rate, 12 breaths/minute; IPAP = 12 cm H2O; EPAP = 6 cm H2O. You enter his room, identify yourself, and explain everything to him. You also perform a complete assessment. After applying BiPAP, you note a drop in blood pressure and oxygen saturation. 1) What would you recommend to Mr. Pickwick for infection control in the home?Theophylline is the drug of choice for managing asthma Select one: True FalseMatch each term in Column I with its function or description in Column II. COLUMN I COLUMN II 1. respiratory control a. inspiratory reserve volume b. amount of air that moves in and out with each breath 2. oxidation c. elular respiration 3. vagus nerve 4. breathing 5. tachypnea 6. diaphragm 7. intercostal muscles 8. tidal volume 9. residual volume 10. pressure in the pleural space j. abnormal rapid shallow breathing d. located in the medulla e. ventilation f. difficult or labored breathing g. becomes flattened and moves downward during inhalation h. air that cannot be forcibly removed i. less than atmospheric pressure k muscles between the ribs that contract during inhalation 1. inhibits inspiration and stimulates expiration
- Scenario 1: Mr. Pickwick has obstructive sleep apnea, and the doctor has ordered him to be placed on BiPAP at the following settings: mode, S/T; rate, 12 breaths/minute; IPAP = 12 cm H2O; EPAP = 6 cm H2O. You enter his room, identify yourself, and explain everything to him. You also perform a complete assessment. After applying BiPAP, you note a drop in blood pressure and oxygen saturation. What are possible causes of the drop in blood pressure and Spo2 and what changes or modifications would you recommend?A event At 11 p.m., a patient is admitted to the Emergency Department (ED) with a respiratory rate of 44 breaths/minute and SaO2 85%. They are anxious with audible wheezes. The patient is immediately given nebulised Salbutamol follow by oxygen via face mask and Hydrocortisone intravenously (I.V). 1. Explain the reason for Intravenous (I.V) Hydrocortisone.A nurse is caring for a client who presented to the emergency department with an acute asthma exacerbation. The respiratory rate is 36 breaths/min, and a pulse oximeter is 85% on room air with accessory muscle use to breathe. The nurse placed the client on oxygen 4 liters nasal cannula. The arterial blood gas (ABG) is as follows: pH: 7.28, PaCO2: 50 mm Hg, PaO2: 75 mm Hg, and HCO3: 26 mEq/L. Which of the following treatments is the nurse's highest priority? A) Administer bronchodilators B) Administer sodium bicarbonate Administer methylprednisolone (D) Perform a chest x-ray