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9
year old Alan comes in with complaints of "chest tightness".
His breathing is mildly labored and he is audibly wheezing. His
peak flow is 50% of his normal range. Significant findings include
moderate inspiratory and expiratory wheezing with moderate air exchange.
His O2 is 96% by pulse oximetry. His mother reports that his asthma
has been under control but in the past month, he has needed his
rescue inhaler almost daily. In addition, he has awakened frequently
at night with coughing. His current meds include Advair 100mcg,
which he used twice daily. He uses Albuterol for wheezing. |
What is the asthma
severity level?
Select the best answer, and then click Continue. |
Mild intermittent.
Mild
persistent.
Moderate
persistent.
Severe
persistent.
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This
learning activity was developed by Christine Pintz, FNP, MSN, coordinator
of the Family Nurse Practitioner program at the George Washington
University, in collaboration with Partnerships for Training, an
Association of Academic Health Centers program funded by the Robert
Wood Johnson Foundation. |
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That's incorrect. His FEV is 50% of normal, which indicates that he is in
the severe range. Also he has needed his rescue inhaler every day. He may
not stay at this level with step up treatment. His classification may be changed
if his symptoms move to a lower level. Click
the continue button below to move on.
No,
His FEV is 50% of normal, which indicates that he is in the severe range. Also
he has needed his rescue inhaler every day. He may not stay at this level with
step up treatment. His classification may be changed if his symptoms move to
a lower level. Click the continue button below to move
on.
No, his FEV is 50% of normal, which indicates that he is
in the severe range. Also he has needed his rescue inhaler every day. He may
not stay at this level with step up treatment. His classification may be changed
if his symptoms move to a lower level. Click the
continue button below to move on.
Right.
His FEV is 50% of normal, which indicates that he is in the severe range. Also
he has needed his rescue inhaler every day. He may not stay at this level with
step up treatment. His classification may be changed if his symptoms move to
a lower level. Click the continue button below to move
on.