Which tests are appropriate for a client with asthma?
Rationale: Diagnostic tests that are appropriate for a client with asthma include peak expiratory flow, pulse oximetry, allergy skin testing, and arterial blood gas analysis. Spirometry can determine the extent of bronchospasm in clients with bronchitis, but not with asthma.
What is the main treatment for asthma?
The main treatment for asthma is using asthma control medicine on a regular basis. Asthma control drugs reduce inflammation in the airways. When the airways are less inflamed, they become less sensitive, or hyperresponsive. This reduces your risk of having an asthma attack.
How is an asthma exacerbation treated by an EMS provider?
Once an EMS provider has assessed the patient and concluded the most likely diagnosis is an asthma exacerbation,[4] treatment follows according to[5] the provider's level of certification. Emergency medical technician (EMT)-Basics may administer supplemental oxygen and assist the patient in using their beta-2-agonist inhaler (e.g., albuterol).
What is the emergency department nurse evaluating during an asthma attack?
The emergency department nurse is evaluating the effectiveness of therapy for a patient who has received treatment during an asthma attack. Which assessment finding is the best indicator that the therapy has been effective? a. Accessory muscle use has decreased.
Who is the medical professional that would treat asthma?
Allergist. An allergist is a pediatrician or internist who has taken additional training to qualify as a specialist in allergy and immunology. An allergist specializes in allergies, asthma, and allergic asthma.
What is the treatment protocol for asthma?
Quick-relief inhalers (bronchodilators) quickly open swollen airways that are limiting breathing. In some cases, allergy medications are necessary. Long-term asthma control medications, generally taken daily, are the cornerstone of asthma treatment.
What is AE C certificate?
The Asthma Educator-Certified, or AE-C, credential is overseen by the National Asthma Educator Certification Board (NAECB) and is open to all currently licensed or credentialed health care professionals.
Who administers asthma educator?
Founded in September 2000, NAECB®, is a professional certification organization acting in the public interest by establishing and enforcing education, examination, experience and ethics requirements for certification. Currently, 3260 are certified to use the AE-C® designation.
What might a physician order to help with an asthma diagnosis?
If your child's doctor suspects asthma, the doctor may prescribe a bronchodilator — a drug that opens the airways. If your child's signs and symptoms improve after using the bronchodilator, your child may have asthma.
What are GINA guidelines for asthma?
GINA now recommends that all adults and adolescents with asthma should receive either symptom-driven (in mild asthma) or daily low dose ICS-containing controller treatment, to reduce their risk of serious exacerbations.
What is an asthma educator?
An asthma educator is an expert in counseling individuals with asthma and their families how to manage their asthma and to minimize its impact on their quality of life.
How do you educate asthma?
Current asthma guidelines recommend four strategies to good asthma control: 1) appropriate medications, 2) frequent visits to the healthcare provider (at least twice a year), 3) avoiding triggers in the environment, and 4) education for a partnership in care.
What is AE C in nursing?
The course is delivered by asthma experts, including Certified Asthma Educators (AE-C), respiratory therapists, nurse practitioners, physicians, health educators and pharmacists.
What is the cause asthma?
Exposure to various irritants and substances that trigger allergies (allergens) can trigger signs and symptoms of asthma. Asthma triggers are different from person to person and can include: Airborne allergens, such as pollen, dust mites, mold spores, pet dander or particles of cockroach waste.
How to manage asthma?
Taking an active role in managing your asthma treatment will help you maintain better long-term asthma control, prevent asthma attacks and avoid long-term problems. Create a written asthma action plan with your doctor. This written plan will serve as an asthma treatment guide tailored to your specific needs. It will help you follow these three ...
How to prevent asthma attacks?
Following your plan will help you avoid asthma attacks and minimize the disruptions caused by asthma symptoms. Meet with your doctor regularly to review your treatment.
How to write asthma symptoms?
Write down your symptoms in an asthma diary each day. Recording symptoms can help you recognize when you need to make treatment adjustments according to your asthma action plan. Use your asthma diary to record: 1 Shortness of breath or whistling sounds when you exhale (wheezing). 2 Disturbed sleep caused by shortness of breath, coughing or wheezing. 3 Chest tightness or pain. 4 Quick-relief (rescue) inhaler use — record when you need to use your quick-relief inhaler, such as albuterol (Proventil HFA, Ventolin HFA, ProAirHFA), and write down how many puffs you take. 5 Disruptions to work, school, exercise or other day-to-day activities caused by asthma symptoms. 6 Asthma symptoms during exercise. 7 Changes in color of phlegm you cough up. 8 Hay fever symptoms such as sneezing and runny nose. 9 Anything that seems to trigger asthma flare-ups.
What is the measurement of air in the lungs called?
This measurement is called forced expiratory volume (FEV1) . Your FEV1 measurement is compared with the typical FEV1 for people who don't have asthma.
What is a quick relief inhaler?
Quick-relief inhalers contain a fast-acting medication such as albuterol. These medications are sometimes called rescue inhalers. They're used as needed to quickly open your airways and make breathing easier. Knowing when to use these medications can help prevent an impending asthma attack.
How to keep a record of asthma?
It will help you follow these three important steps and keep a good record of your asthma treatment: 1. Track your symptoms. Write down your symptoms in an asthma diary each day. Recording symptoms can help you recognize when you need to make treatment adjustments according to your asthma action plan. Use your asthma diary to record:
How much of your personal best is asthma?
60 to 80% of your predicted personal best. Less than 60% of your predicted personal best. There are two main types of medications used to treat asthma: Long-term control medications such as inhaled corticosteroids are the most important medications used to keep asthma under control.
What is the best medicine for asthma?
Oral corticosteroids reduce inflammation. These drugs may be used short-term at the start of an asthma attack or after an attack. Common names of oral steroids include methylprednisolone, prednisolone, and prednisone. 1
How to treat asthma in 2016?
March 7, 2016. The main treatment for asthma is using asthma control medicine on a regular basis. Asthma control drugs reduce inflammation in the airways. When the airways are less inflamed, they become less sensitive, or hyperresponsive. This reduces your risk of having an asthma attack. You may need 1 or more drugs to get your asthma ...
How long does it take for asthma to go down?
This may mean increasing the dose or adding another drug. If your asthma is well controlled for at least 3 months, you may go down 1 step.
Do steroids help with asthma?
Inhaled steroids make the airways less inflamed and less sensitive. This leads to less severe asthma symptoms and better lung function. You are less likely to have an asthma attack or need to visit the emergency room if you take inhaled corticosteroids. 1,2.
Can LTRAs be used for asthma?
These are pills taken by mouth. 1,2. LTRAs can be used instead of inhaled steroids for people with mild to moderate asthma (Step 2). Leukotriene modifiers can also be used in addition to inhaled corticosteroids for moderate asthma (Steps 3 and 4).
What tests are appropriate for asthma patients?
Rationale: Diagnostic tests that are appropriate for a client with asthma include peak expiratory flow, pulse oximetry, allergy skin testing, and arterial blood gas analysis . Spirometry can determine the extent of bronchospasm in clients with bronchitis, but not with asthma.
What is the goal of asthma treatment?
The goal for treatment of an asthma attack is to keep the oxygen saturation greater than 90%. Viewing the heart rate and rhythm, chest x-ray, and knowing the measurements for the peak flow reading do not indicate if the client has good oxygenation status.
What are the triggers for asthma?
Tap card to see definition 👆. Answer: A, C, D. Rationale: Asthma triggers include cigarette smoke, indoor pets, and stuffed animals. Carpets, not tile floors, should be avoided as they can trigger asthma. Mattress covers should be used to decrease dust mites, which is a trigger for asthma.
Is there a wheezing in emphysema?
Answer: C. Rationale: On physical examination, there is expiratory wheezing that is often described as high pitched and musical, and there is prolongation of the expiratory phase of the respiratory cycle. Lung volumes are decreased. Air trapping and dead space occur in emphysema, not asthma.
Should a nurse teach a client to use a peak flowmeter?
Answer: C, D, E. Rationale: The nurse should teach the client the use of the peak flowmeter and when to contact the healthcare provider. The use of inhaled corticosteroids is more effective in improving asthma than any other drug and is indicated for all clients with persistent asthma.
Can carpets cause asthma?
Answer: A, C, D. Rationale: Asthma triggers include cigarette smoke, indoor pets, and stuffed animals. Carpets, not tile floors, should be avoided as they can trigger asthma. Mattress covers should be used to decrease dust mites, which is a trigger for asthma.
Is respiratory rate normal during asthma attacks?
The respiratory rate and capillary refill time appear within normal limits; however, these data can also occur when the client is too fatigued to continue with the increased work of breathing that is required in an asthma attack. The nurse is auscultating the lungs of an asthmatic client during an acute attack.
Who can administer botox?
Other professionals who may administer Botox. To administer Botox, a person must be a licensed medical professional . Here is a list of five additional professionals who can provide this cosmetic service to their patients and clients: 1. Skincare specialist.
What degree do you need to administer Botox?
What degree do you need to provide Botox injections? In order to administer Botox injections, you must be a physician, physician assistant, dentist, registered nurse or another licensed healthcare practitioner.
What is Botox certification?
Botox injections and procedures have become highly sought after by patients. Earning certification to administer Botox injections allows you to incorporate these procedures into your medical practice and meet the demands of many patients.
How to become a cosmetic nurse?
To become a cosmetic nurse, you first need to become a registered nurse, which requires either a two-year associate degree in nursing or a four-year bachelor's degree in nursing. Next, you obtain state licensure and gain at least two years working with a board-certified physician in plastic or cosmetic surgery or dermatology.
What is the role of a skincare specialist?
Primary duties: A licensed skincare specialist receives training to safely perform cosmetic treatments designed to improve a person's physical appearance. They usually work in medical spas or health clinics, and they regularly meet with patients and clients to discuss their feelings and desires regarding their skin.
What is the primary job of a physician?
Primary duties: A physician is a licensed medical practitioner. They attend medical school and complete a medical residency program in order to provide healthcare for patients. They regularly work in private practices, hospitals and clinics to diagnose and treat illnesses, injuries or diseases.
How many years of school do I need to become a cosmetic nurse?
Following a bachelor's degree, any additional educational requirements depend on your career path. For example, physicians require four years of medical school in addition to several years in residency. If you're specifically interested in doing cosmetic-related work, you can become a cosmetic nurse.
What is asthma in nursing?
Asthma is a chronic respiratory disease that causes inflammation to the smaller airways. In the previous NCLEX review series, I explained about other respiratory disorders, so be sure to check those reviews out. As the nurse, it is important to know how to care for a patient with asthma. In addition, the nurse needs to be aware of the triggers, ...
How often do you use an asthma inhaler?
Your patient's asthma is poorly controlled. The patient reports using their rescue inhaler 4 times a week. In addition, the patient's asthma is not responding to other treatments. The physician orders the patient to take a medication that works by blocking the role of the immunoglobulin IgE.
Why is it important to connect a spacer to an inhaler before use?
Therefore, it is important to connect a spacer to the inhaler before usage to help prevent the patient from developing thrush and for the patient to gargle and rinse the mouth with water. 4. A patient with asthma is receiving a nebulizer of Cromolyn.
How long to wait to inhale fluticasone?
The answer is A. The bronchodilator inhaler (Salmeterol) is administered first to open up the airways. Then the patient is to wait five minutes and then administer the corticosteroid (Fluticasone).
How does a bronchodilator help asthma?
The bronchodilator will open the airways so the corticosteroid can easily enter the airways to decrease inflammation. 2. You’re assisting your patient who has asthma to bed. The patient is experiencing a frequent cough and chest tightness. You auscultate the patient’s lung fields and note expiratory wheezes.
What happens to CO2 during asthma?
During an asthma attack, the patient is unable to exhale fully and air trapping occurs. Therefore, gas exchange does NOT occur, leaving carbon dioxide to build up in the blood and NO oxygen to enter the bloodstream. The CO2 builds up in the system and oxygen saturations drop….hence acidosis. Remember CO2 is acidic.
What is the best medication for bronchodilation?
Medications that are best for this include short-acting bronchodilators, such as Albuterol, short-acting beta agonists. Another type of short-acting bronchodilator is an anticholinergic bronchodilator called Ipratropium (this is given if a patient can’t tolerated short-acting beta agonists like Albuterol).