23. The deteriorating patient Flashcards
1
Q
What are bullae?
A
Large spaces of dead air, caused by emphysema
2
Q
What happens to your lungs during hyperinfaltion
A
Becomes very stretched, looks small on CXR
3
Q
What is the management of acute exacerbation of COPD?
A
Nebulsied salbutamol Nebulised ipratropium Steroids-prednisolone Antibiotics Oxygen
4
Q
What is in a Elipta inhaler?
A
ICS
LABA
LAMA
5
Q
What is good to know when looking at OBS?
A
Look at the trend!
6
Q
Why are pneumothorax associated with COPD?
A
Bullae can rupture causing pneumothorax
7
Q
Top tips for SBAR?
A
Have information to hand
First sentence is headline news!!
Make it concise
Have a point to the phone call e.g. can you come have a look.
8
Q
What to do for long term COPD people with poor prognosis?
A
Pharmacological- Opiate’s, benzodiazipines
Non-pharmacological management- CBT, oxygen therapy
