FNP2 Quiz 3- Respiratory

Cough and cold meds should not be given to any child what age? Why?

Bronchiolitis is most common when? Which ages are primarily affected?

URI and wheezing does not indicate what?

_______ is the common culprit for bronchiolitis.

RSV is the main cause of _________ and __________ in kids UNDER 1 YOA.

______% of all kids will be infected with RSV before 2 yoa.

Coughing, wheezing, copious clear nasal secretions - what should you think?

Incubation from first exposure to first s/s of RSV is how long?

Kids will shed RSV from lower respiratory tract for how long?

How is RSV spread?

Under which circumstances should Synagis not be given?

Who CAN be given Synagis?

Another word for Laryngotracheobronchitis.

Tx for croup.

Pertussis infrequently occurs in what age?

How long does each phase of Pertussis last?

What are the phases of Pertussis?

How long does the culture for B. pertussis take?

Tx for Pertussis.

Antimicrobial therapy given in the ________ stage of Pertussis does not alter the course.

How long can Pertussis last?

_______, _________, and _______ are all manifestations of CF.

Any cough in a child w/o precursor illness should alert you to what?

If a child has aspirated a small object, it can cause symptoms ______ later.

Hoarseness, chronic croupy cough, unilateral wheezing, blood-streaked sputum, metallic taste, atelectasis.

What might you hear with stethoscope in a kid who has aspirated something?

Most common cause of pneumonia > 5yoa; most common cause < 5 yoa.

After the neonatal period, most common causes of bacterial pneumonia in otherwise healthy kids.

Tachypnea, cough, sudden onset. Think what?

Do not use ________ for pneumonia (counterproductive!).

Bacterial pneumonia tx for under 5.

Bacterial pneumonia tx for > 5 yrs.

Different age groups for treating asthma.

For patients not well controlled on low-dose inhaled corticosteroid (ICS), ______________ BEFORE adding adjunctive therapy is preferred in the 0-4 years olds.

For patients not well controlled on low-dose inhaled corticosteroid, ______________  are considered as equal options for children 5-11 years of age and youths ≥12 years of age and adults.

In children 5 and under, what is the most common cause of asthma-like symptoms?

Kids younger than 5 yrs who have had 4 or more episodes of wheezing or dry repetitive cough in the last year that has lasted more than a day and has affected their sleep are more likely to have persistent asthma after 5 yrs old if they also have one of which factors?

How is reversibility of asthma determined in kids 5 or older?

For asthma kids, ask about family h/o what?

For asthma kids, ask about coughing at what time?

Level of severity of asthma is in direct relationship to what?

What type of inhalers do not need spacers and are difficult for kids under 5?

Most common admitting dx for kids.

Be cautious in asthma pts (adults) with what OTC meds? What Rx meds?

Which step of asthma is this: symptoms 2 or less x week; nighttime symptoms 2 or less x month; no interference with normal activity.

Which step of asthma is this: symptoms more than 2 days/week but not daily; nighttime symptoms 3-4 x month.

Which step of asthma is this: clinical feature b4 tx; daily symptoms; nighttime symptoms > 1xweek but not nightly; daily use of short-acting B agonist.

Which step of asthma is this: clinical features b4 tx; symptoms throughout day; often 7/week nighttime wakening; extremely limited activity.

RF for asthma related death includes how much use of SABA?

RF for asthma related death includes ________ hospitalizations or ______ ED visits in 1 year

SO2 should be maintained at > than ______ % in adults, and > _____ % in pregnant women.

Which asthma pts should be given systemic steroids?

Intravenous __________ has a bronchodilator activity in acute asthma, but is CI in _________.

Drug-resistant RF in relation to pneumonia.

What type of pathogen might cause a pneumonia with these s/s? chills, rigors, malnourished, homeless.

For a pt with pneumonia who was previously healthy and no recent abx therapy w/in 3 mos, what can you Rx?

For a pt with pneumonia who was previously healthy and HAS recent abx therapy w/in 3 mos, what can be prescribed?

What is CURB-65?

Dry, nonproductive cough, malaise, fatigue, fever, headache, diarrhea, rash, insidious onset (2-3 wk incubation). Young adults more common.

Cough from mycoplasm pneumonia can last how long after the organism is eradicated?

Usually you will hear ____________ in the lungs with mycoplasm pneumonia.

Fever, myalgias, artralgia, h/a, dry hacky cough, sore throat (more over larynx→ hoarseness), low-grade fever.

Acute onset, high fever, dry cough, chills, tachypnea, bradycardia, diarrhea, hyponatremia, elevated LDH.

___________ pneumonia is spread by droplets and inhalation of contaminated water sources.

This type of pneumonia can cause CNS symptoms.

Common pneumonia organisms for COPD pts.

Common pneumonia organisms for alcoholics.

Common pneumonia organisms for nursing home residents.

Frequently described by pt as, "I have a chest cold".

Causative agents of bronchitis.

What may be beneficial for a pt whose peak flow has decreased (meaning airflow obstruction)?

No use of antibiotics in the initial treatment of Acute Bronchitis; an exception would be if pt is > 65 yrs with acute cough and 2 or more of what?

Drug of choice for pertussis.

What's the best way to evaluate an obstructive component to a cough?