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RT20.HW week 8 Asthma and COPD

Refer to GINA 2019 pocket guide to complete (begin at pg 14):
1. What essential skills do patients need to receive education about (6 skills)?
2. What medication is now recommended for every patient even with mild asthma symptoms?
3. The patient’s ___________ should be evaluated whenever treatment is changed. Assess
___________ control, _________________, side-effects, lung function and patient (and parent,
for children with asthma) __________________.
4. The assess part of Gina includes: ______________________________,
________________________________________, ______________________________,
__________________________________, __________________________________________.
5. The adjust part of GINA includes treatment of modifiable risks factors and comorbidities,
______________________, ____________________________, and
6. What 6 factors support GINA’s recommendation to add a low dose ICS for patients with mild
asthma to provide best patient outcomes (pg. 17)?
7. When should the patient be re-evaluated after beginning controller therapy?
Using the guide from pg. 18 answer the following:
8. What medications are recommended in Step 1?
9. What medications are recommended in Step 2?
10. The patient’s response to Step 1 and Step 2 are diminished, what is recommended in
Step 3?
11. What medications are recommended to add in Step 4 with the ICS-LABA combination?
12. The patient has severe Asthma symptoms more frequently and has documented
significant obstruction (FEV1 < 70%). What is recommended at Step 5 along with the
high-dose ICS-LABA combination?
13. List 5 actions that should be taken by the healthcare provider prior to beginning initial
controller medications (pg. 17).
14. What is the pathological triad of asthma or the three components that make up the
15. List 3-6 signs and symptoms of asthma:
16. What are the PFT measurements used to diagnose asthma? What is the exact % and ml
change in lung function post bronchodilator Tx?
17. List 4-6 allergins that trigger asthma events, such as the inflammatory response:
18. List 4 non-allergic triggers of asthma:
19. A 22 year-old male arrives in the ER in severe status asthmaticus. What do you imagine
his chest x-ray results would look like? _____________________. What about
percussion notes (dull or hyperressonant)? What about vocal and tactile fremitus (or
vibration of the chest wall)?
20. What is pulses paradoxis and what is the physiological cause? Explain.