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Sheff 91 core clinical problems > 56 - SOB, 57 - wheeze, 58 - Stridor > Flashcards

56 - SOB, 57 - wheeze, 58 - Stridor Flashcards

1
Q

If the base excess on ABG is low what does that indicate

A

acidosis

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2
Q

Acute asthma MX

A 
Oxygen!
Nebbed salbutamol
Oral prednisolone
Ipratropium bromide
Magnesium Sulphate
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3
Q

Chronic asthma Mx

A

SABA: salbutamol – important to assess technique if treatment has failed

Inhaled corticosteroid: beclomethasone

LABA: salmeterol.

Leukotriene receptor antagonist: monteleukast. Or theophylline

Oral steroids: prednisolone

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4
Q

What happens to blood ph in hyperventilation?

A

hypocapnia -> respiratory alkalosis (raised)

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5
Q

Causes of metabolic acidosis

A

renal failure, poisoning, DKA,

MUDPILES
METHANOL
URAEMIA
DKA
PROPYLENE GLYCOL
INFECTION
LACTIC
ETHYLENE GLYCOL
SALICYATES (aspirin toxicity initially causes a respiratory alkalosis)
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6
Q

Sx of metabolic acidosis

A

Pain, vomiting, nausea, headache, palpitations, Kussmaul respirations, coma, seizures

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7
Q

How does body try and compensate resp acidoiss

A

bicarb ions

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8
Q

Mx if arrythmias are a risk in metabolic acidosis?

A

sodium bicarb

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9
Q

Which bronchi normal for foreign body?

A

right main

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10
Q

Serious inhalation lung injury mx

A

monitor for CO poisoning

Intubate early with mechanical ventilation

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11
Q

Who normally gets allergic alveolitis ? Whats seen on Ix?

A

hobbies Eg birds / occupation

granulomas show as diffuse nodules on CXR

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12
Q

Mx of allergic alveolitis

A

lifestyle changes

pred

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13
Q

Cause of bronchiolitis? Usual age and cause?

A

RSC

children under 2 years in the winter months.

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14
Q

Mx of bronchiolitis

A

supportive

O2, fluids, monitoring

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15
Q

usual cause of croup? key signs ?

A

Parainfluenza

Barking cough and stridor. Drooling indicates serious disease

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16
Q

Mx of croup

A

Oral dexamethasone. Nebbed adrenaline if not.

Check oxygen sats.

17
Q

Classic age for croup

A

6/12 in winter

18
Q

Larynx / trachea normal cell type for Ca ?

A

squamous

19
Q

tracheal Ca mets to where first?

A

cervical lymph and lungs

20
Q

SX of tracheal / larynx Ca

A

Hoarseness, neck lump, cough, sore throat, bad breath, earache from referred pain, dysphagia, stridor,

Sheff 91 core clinical problems (51 decks)

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