Back to AI Flashcard MakerNursing /Simmons NURP 502 Exam 1: Adult Asthma
Should you treat asthma during pregnancy?
Yes, beneficial outcomes for both mother and child. Asthma worsens for 1/3 and gets better for 1/3.
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Key Terms
Term
Definition
Should you treat asthma during pregnancy?
Yes, beneficial outcomes for both mother and child. Asthma worsens for 1/3 and gets better for 1/3.
Should the PCP or OBGYN manage asthma during pregnancy?
PCP has better access to tools for treatment.
Most asthma medications are what pregnancy classification?
C
How do you manage an acute exacerbation?
• Rapidly establish severity. • Concomitantly measure oxygen saturation; watch patient breathe; see if able to talk while breathing. • Check for and c...
What exacerbations require steroids?
Moderate to severe.
Mild, moderate, severe, or life-threatening exacerbation? • Dyspnea interferes with or limits usual activity • Peak flow is 40–69% of predicted • Relief from frequently inhaled SABA • Treatment: oral corticosteroids • Relief within 1-2 days
Moderate
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| Term | Definition |
|---|---|
Should you treat asthma during pregnancy? | Yes, beneficial outcomes for both mother and child. Asthma worsens for 1/3 and gets better for 1/3. |
Should the PCP or OBGYN manage asthma during pregnancy? | PCP has better access to tools for treatment. |
Most asthma medications are what pregnancy classification? | C |
How do you manage an acute exacerbation? | • Rapidly establish severity. • Concomitantly measure oxygen saturation; watch patient breathe; see if able to talk while breathing. • Check for and correct hypoxemia while figuring out modality to open up lungs. • Administer quick-relief medications. • Administer oral steroids while waiting for the EMTs. • Transferred to the hospital? • Yes: Continue to monitor the patient upon discharge. • No: Follow up within 2–7 days before treatment has been completed to assess success of treatment. |
What exacerbations require steroids? | Moderate to severe. |
Mild, moderate, severe, or life-threatening exacerbation? • Dyspnea interferes with or limits usual activity • Peak flow is 40–69% of predicted • Relief from frequently inhaled SABA • Treatment: oral corticosteroids • Relief within 1-2 days | Moderate |
When do you transfer a patient to the ER? | • Worsening respiratory distress • Persistent distress • Persistent hypoxemia |
Mild, moderate, severe, or life-threatening exacerbation? • Dyspnea with activity Pulmonary function is 70% of predicted • Prompt relief with short-acting beta agonist (SABA) | Mild |
What is the steroid dosing for adults outpatient? | • Prednisone/Prednisolone • 1-2 mg/kg/day • Max 40-80 mg/day |
Mild, moderate, severe, or life-threatening exacerbation? • Patient is unable to speak and perspiring. • Peak flow is less than 25% of predicted. • Patient is on continuous nebulizers and no relief from SABAs. • Hospitalization is required, potentially in ICU. • Treatment: Intravenous corticosteroids are a mainstay, while adjunctive therapies depend on what is popular. | Life-threatening |
When is treatment failure considered in outpatient care? | If there are 3 back-to-back albuterol nebs or duo nebs without complete relief. |
Mild, moderate, severe, or life-threatening exacerbation? • Dyspnea at rest and difficulty with regular conversation • Peak flow less than 40% of predicted or personal best • Partial relief from frequently inhaled SABAs • Never receive complete relief • Treatment: oral corticosteroids or IV corticosteroids in the hospital • Relief: symptoms persist for 3 days past the prescription | Severe (ER or hospitalize) |
What is the preferred ICS in pregnancy? | Budesonide |
What is the preferred SABA in pregnancy? | Albuterol |
What is the preferred antihistamine in pregnancy if needed to control asthma and allergies or atopy together? | Loratidine or cetirizine (2nd gen) |