08/01 Flashcards
1
Q
What are the features indicative of life threatening asthma?
A
Any one of the following features
- PEFR <33% best or predicted
- Sats <92%
- Normal pCO2
- Silent chest, cyanosis or poor resp effort
- bradycardia, dysrhythmia, hypotension
- exhaustion, confusion or coma
2
Q
When should abx be given in acute exacerbations of COPD?
A
If purulent sputum or clinical signs of pneumonia
3
Q
What is the management of a primary pneumothorax?
A
If rim of air <2cm and pt not SoB then discharge considered
If not then aspirate
If aspiration fails (>2cm or still SoB) then chest drain should be inserted
4
Q
Which form of NIV is most effective in COPD?
A
BiPap
5
Q
When should long term oxygen therapy be commenced in COPD?
A
Chronic hypoxia/polycythaemia/pulmonary HTN or peripheral oedema
