4. Respiratory Tutorial Flashcards
What is asthma
Common long-term inflammatory disease of the airways of the lungs
Characterisation of asthma (3)
Variable and recurring symptoms
Reversible airflow obstruction
Bronchospasm
Asthma symptoms (6)
Wheezing Coughing Chest tightness SoB Sputum Use of accessory muscles during respiration
Asthma monitoring (5)
Sputum exam CXR Measuring pulmonary function (PEFR) Bronchoscopy VQ scan
Components of COPD (2)
Emphysema
Obstructive COPD
What is hypoxaemia
Type 1 respiratory failure - thickening of alveolar barrier
Type 2 respiratory failure and oxygen concentration
If suffering, give low concentration oxygen
What is legionnaires disease
Most common type of atypical pneumonia
Oral issues with inhaled steroid use (4)
Candida risk (white plaques, erythematous)
Xerostomia
Tooth erosion
Oral cancer risk (smokers)
Oral implications of smoking
Increased oral cancer risk
Oral cancer signs/symptoms (4)
Lump in nodes
Unhealed ulcers (>2wks) with rolled margins
Periodontal disease
White/red patches
Possible cross reactivity with other allergies for dental care of patients with asthma (2)
NSAIDs - ask if they’ve had NSAIDs before
LA sulphites
Which of the following are clinical symptoms of asthma Stridor Morning PEFR dipping Productive cough Blood stained sputum Hyperresonant percussion
Morning PEFR dipping
Sometimes (not always) productive cough