You are called to the ER to assess a 25-year-old female patient in status asthmaticus. Her PEFR results of pre- and post-bronchodilator therapy are given below:
Pre-bronchodilator Post-bronchodilator
1st attempt 216 334
2nd attempt 224 330
3rd attempt 210 340
You should suggest to the ER physician to:
a. stop the bronchodilators.
b. repeat the PEF measurement.
c. increase the medication dosage.
d. continue current therapy.
ANS: D
When assessing PEFR results, the highest measurement pre and post should be used to calculate the percentage improvement (pre-post/pre ? 100). Any improvement of 12 percentage in the PEFR or 200 ml in the FEV1 represent a significant improvement for the bronchodilator. In this case, the patient had an improvement of 52 percentage; hence the therapy should be continued.
You might also like to view...
The spinal process forms the bumps that can be felt along the midline of the back. They project posteriorly from where the vertebral laminae fuse together
Indicate whether the statement is true or false
Small sutures do not need to be accounted for at the end of a procedure because they probably will not show up on a radiograph if the suture count is not correct
Indicate whether the statement is true or false.
Putting in or on, all or a portion of, a living body part that has been taken from an animal or another individual is called _____.
A. transplantation B. repositioning C. reattachment D. transfer
Unconsciously replacing an unacceptable goal with a more acceptable one is called ________.
Fill in the blank(s) with the appropriate word(s).