adult health

Question 1

Emphysema (Pink Puffer)

Answer 1

Barrel chest and hyperresonance
are seen with emphysema due
to air trapping.
Can overcome air-trapping with pursed-lip breathing
(“pink puffer”)

Question 2

COPD

Answer 2

Chronic airflow limitation
#1 risk factor = smoking
Features of both chronic bronchitis and
emphysema

Question 3

In COPD,

Answer 3

the pulse oximetry target for oxygen
therapy is 88-92%.

Question 4

To maximize calorie intake,

Answer 4

rest for 30 min before
meals and eat high-calorie foods that are easy
to chew.

Question 5

Paradoxical respirations

Answer 5

are a warning sign
of respiratory fatigue. Notify HCP and prepare
for intubation.

Question 6

Benzodiazepines and opioids

Answer 6

depress the
respiratory drive and should not be used in
acute exacerbation.

Question 7

Oxygen treats
hypoxemia
(prevents cor
pulmonale).

Answer 7

Low-flow for target pulse
oximetry 88-92%
2-4 L/min or 40%
Venturi mask