5. akut obstruktion KOL-ex Flashcards

1
Q

vilka

A

kronisk bronkit och/eller de med KOL

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2
Q

etiologi

A

ofta pga infektion
- virus vanligast
- bakterier: HI, pn, moraxella catharralis, pseudomonas auerginosa (G- stav)

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3
Q

symtom

A

ökad dyspne
ökad hosta/sputumvolym
purulenta upphostningar
allmän sjukdomskänsla

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4
Q

vad talar för pneumoni

A

CRP/LPK + feber

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5
Q

diagnostik

A

anamnes

status
- ronki, svaga andningsljud

PEF sänkt

prover
- blodprover
- nph pcr
- sputum ev

radiologi om svår diff

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6
Q

lindrig kol ex

A

tätare SABA i hemmet

AB

prednisolon 30 mg 5 dagar

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7
Q

på akuten

A

målat 88-92%
- följ blodgas

bronkdilaterande
- combivent 2.5 ml (salbutamol/ipratropium)
- salbutamol 5-10 mg + atrovent 0.5 mg

kortison prednisolon 30 mg 5 dagar
- alt betabred 8 mg po/iv

amoxicillin 500-750 mgx3 5-7 dagar

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8
Q

vid allvarlig pneumoni

A

pip-taz 4x4 + kinolon/makrolid

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9
Q

indikation ab

A

liberal

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10
Q

om svåra problem kan man ge

A

teofyllin

bipap/resp

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11
Q

på avdelning

A

inahalationer var 6e timme

följ blodgas 1-2 dygn tills normalisering

PEEP

fysio

åb ordinare läk 1-2 v

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