Aaron: Pulmonary Flashcards
A bad COPD exacerbation is seen, what is the #1 cause of poor prognosis?
FEV1 below 40%
Extubated and immediately has stridor breathing, what is the cause and treatment?
Laryngeal Swelling and Extubation
What is the number one cause of poor PE outcomes?
Hypotension
How does oxygen supplementation help a COPD episode?
oxygen helps ventilate poorly ventilated lung areas affected by COPD, as a result, the V/Q ratio improves
Assuming you have a PE and no bleeding risk, what is the next best step?
Thrombolytics
What is weakness of trachea walls that leads to coughing and SOB, stridor on PE?
Tracheomalacia
Post PE, can a patient have a fever, that is related to the PE?
Yes
A ventilated individual can open his eyes, but cannot protect his airway, what is good therapy to help get him off the vent and out of the ICU?
Physical Therapy
If a V/Q scan has a low PE risk, can the patient still have a PE?
YES!!!!!!!!!!!!!!!!!!!
Pneumonia and Empyema should both have what two clinical signs?
Cough and Fever
From 50-80 years old, smokers can have what test done annual to confirm or deny lung cancer?
CT of Chest, not Chest Xray
After leaving the ICU and having slow recovery, how long can it take for memory and concentration return?
years, some people are chronically disabled
Post-intensive care syndrome
When TPN is given, what electrolyte should be monitored?
Phosphate
If an acute asthma exacerbation takes place, patient is stable, and they do not need to be admitted, what medications should be given?
Prednisone 40-60 mg for 5-10 days
Pulmonary Nodules over what size should get surgical excision?
0.8 cm
Air fluid levels on CT, in a patient with vascular dementia, is code for what?
Aspiration
If I have had asthma, long term, and I have no issues until 6 months ago, then I have two hospitalizations, what is one possible disease pathology?
Hyper IgG and IgE response
Allergic Bronchopulmonary Aspergillosis
Allergic Bronchopulmonary Aspergillosis can have what unique lung pathology?
Central Bronchiectasis
If someone presents with most likely aspiration pneumonia, what is the next best step?
Do a swallow study or video swallow study, do not do a CT scan reflexively?
A lung nodule greater than what size will require the nodule to be surgically evaluated?
Greater than 0.8cm
Pre-eclampsia over 34 weeks, magnesium is started, what should happen to the mom?
Stabilize mom and deliver the baby, do not need to do an emergency C-section if the vitals and mom are doing ok
