COPD

Question 1

hypoxemia in COPD

Answer 1

recommended FiO2 24-28%

or 1-2L nasal cannula

Question 2

polycethemia

Answer 2

ususally with COPD
redness of extremities
measure cbc/wbc

Question 3

chest tightness

Answer 3

refers to asthma

Question 4

pulsus paradoxus

Answer 4

present in extreme cases of ventilatory difficulty

Question 5

COPD PFT

Answer 5

low flows (FEV1, FEF25-75, PEFR)
increased FRC
normal/increased TLC

Question 6

TX for COPD

Answer 6

1. bronchodilators
2. expectorants
3. mucolytics
4. antibiotics
5. incentive spirometry
6. deep breathing/coughing
7. IPPB, PEP therapy
8. CPT

Question 7

tx for asthma

Answer 7

1. bronchodilators
2. expectorants
3. corticosteroids
   
   • iv methylprednisolone(solu-medrol)
   • flovent, pulmicort, aerobid, advair, symbacort
4. cromolyn sodium to prevent

Question 8

foul smelling secreations

Answer 8

bronchiectasis

Question 9

bronchiectasis xray

Answer 9

1. cystic space
2. signet ring
3. tram tracks

Question 10

symptoms of asthma

Answer 10

1. chest tightness
2. uncontrollable cough
3. substernal retractions

Question 11

theophylline

Answer 11

bronchodilator used for management of asthma/copd
can be toxic
15-20micrograms/ml

Question 12

theophylline overdose

Answer 12

associated with

1. seizures
2. nausea
3. vomiting
4. headache
5. arrythmias

Question 13

elevated eosinophil levels

Answer 13

consistent with extrinsic asthma

normally measured w evidence of asthma

Question 14

tx for status asthmaticus

Answer 14

1.subcutaneous epi 1ml of 1:1000 strength

up to 3 doses, 1 every 20 mins

Question 15

weaning/assessing copd

Answer 15

check electrolytes!

Question 16

weaning status asthmaticus

Answer 16

if bronchospasm is resolved, u can advance to flow by on vent