Page 1600 - Saunders Comprehensive Review For NCLEX-RN
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Food Additives


                  ▪ Sulfites (bisulfites and metabisulfites)
                  ▪ Beer, wine, dried fruit, shrimp, processed potatoes
                  ▪ Monosodium glutamate


               From Lewis S, Dirksen S, Heitkemper M, Bucher L, Camera I: Medical-surgical
               nursing: assessment and management of clinical problems, ed 8, St. Louis, 2011, Mosby.



               Box 50-5

               Classification of Asthma Severity

               Severe Persistent


                  ▪ Symptoms are continuous.
                  ▪ Physical activity requires limitations.
                  ▪ Frequent exacerbations occur.
                  ▪ Nocturnal symptoms occur frequently.


               Moderate Persistent


                  ▪ Daily symptoms occur.

                  ▪ Daily use of inhaled short-acting β-agonist is needed.
                  ▪ Exacerbations affect activity.
                  ▪ Exacerbations occur at least twice weekly and may last for days.
                  ▪ Nocturnal symptoms occur more frequently than once weekly.


               Mild Persistent


                  ▪ Symptoms occur more frequently than twice weekly but less often than once
                    daily.
                  ▪ Exacerbations may affect activity.
                  ▪ Nocturnal symptoms occur more frequently than twice a month.


               Mild Intermittent


                  ▪ Symptoms occur twice weekly or less.
                  ▪ Client is asymptomatic between exacerbations.
                  ▪ Exacerbations are brief (hours to days).
                  ▪ Intensity of exacerbations varies.

                  ▪ Nocturnal symptoms occur twice a month or less.



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