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how would you describe asthma
chronic obstructive-inflammatory disease of the airways
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asthma has no cure but can be
- treated
- managed
- kept under control
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pathophysiology of asthma
- bronchoconstriction
- airways are hyperreactive to certain antigens (pollen, grass)
- hypersecretions of mucus
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overtime, if asthma is not well kept under control, can cause
remodeling of the airways
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how to diagnose asthma
- medical hx
- id the persons triggers
- symptoms
- idea of severity
- physical exam-head to toe, lungs, resp sys, chest
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what other manifestation are common among asthmatics in particular their skin
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to be diagnosed as an asthmatic, the pft must show a ___ after the bronchodilator
12% increase
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what is status asthmaticus
- asthma exacerbation that does not respond to typical interventions/tx.
- typically intubated
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what is NAEPP
- national
- asthma
- education
- prevention
- program
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does every pt that exp wheezing lung sounds all have asthma
no
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what are other things that causes wheezing
- chf
- virus
- copd
- large tonsil
- foreign body aspiration
- vocal cord dysfunction
- bronchitis
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what is the NAEPP
- organization that have developed guidelines to serve as a tool to people w/ asthma
- to help w/ the diagnose and management
- stared in 91
- updated in 07'
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what are the goals asthma management
- be symptom free
- none during the day or night
- not miss school/work
- no hospitalization or ER visits
- have the best lung function you could possible obtain
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NAEPP divides their guidlines for their tx/management of asthma into 4 categories
- measures of assessment and monitoring
- pharmacological therapy
- control of their triggers
- education- pt and fam
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4 categories of asthma severity starting w/
- intermittent impairment
- mild impairment
- moderate impairment
- severse impairment
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