47: Pneumothorax - Thompson Flashcards
what oxygen given to pt in case?
6 L O2
what might cause a collapsed lung in the pt history?
cough
emphysema
prednisone sue
normal PCO2
35-45
COPD official diagnosis
FEV1/FVC less than 0.7 ***
elongated lungs, retrosternal space on CXR
pulse ox low
bleb v. bullae
bleb - surface, smaller
bullae- bigger, in the lung tissue
signs and symptoms of COPD exacerbation
cough
wheezing
dyspnea
what percent COPD from smoking?
95%
what can cause COPD besides smoking?
alpha 1 antitrypsin deficiency
excess elastase production
which is earlier onset: chronic bronchitis or emphysema?
chronic bronchitis
how large can a primary spontaneous pneumothorax be without chest tube?
25% **
current guidelines for lung cancer screening
Pts 55-74, good health, 30 pack/yr history, smoking or quit w/I 15 yr
these people get annual low dose CT
what besides infection causes WBC to rise?
Leukemia Allergic reactions
Drug reactions: prednisone, other corticosteroids
Rheumatoid arthritis
Stress-seizure
Smoking
Inflammatory response