Lung Disease

Question 1

Chronic bronchiectasis Labs

Answer 1

CBC- increased RBC/Hct/Hb
ABG
CXR
PFT- decreased flow rates 
Bronchoscopy
Sputum culture

Question 2

Chronic Bronchiectasis oxygen therapy protocol

Answer 2

Volume control for chronic ventilatory failure

Air entrainment/ Venturi mask

Question 3

Chronic bronchiectasis therapies and treatments

Answer 3

HFCWO (high frequency chest wall oscillator
Flutter valve/ acapella
Albuterol
Antibiotics

Question 4

Tension pneumothorax labs

Answer 4

Chest X ray
EKG
Capnograph
ABG

Question 5

Tension pneumothorax treatment and respiratory care

Answer 5

Varies on severity, needle aspiration for mild. Thoracostomy chest tube in more serious cases.

Respiratory care includes oxygen therapy.
Lung expansion therapy
Mechanical ventilation in serious cases

Question 6

Congestive heart failure (left sided heart failure)

Labs

Answer 6

Pink frothy secretions
EKG,
chest x ray- fluffy opacities, Batman wing symbol
Capnography,
ABG- respiratory alkalosis with hypoxemia

Question 7

CHF TREATMENT

Causes cardiac pulmonary edema

Answer 7

Hemodynamic (swan Ganz)
Nitroglycerin (vasodilator)
Metoprolol (controls bradycardia)
Digitalis (increase cardiac output)

Question 8

CHF Respiratory protocol

Answer 8

O2 therapy

CPAP

Question 9

COR pulmonale (right sided heart failure) LABS
Distended neck veins
Dyspnea

Answer 9

EKG-right ventricular hypertrophic
CXR
Swan Ganz catheter -increased CVP, decreased Qt with exercise

Question 10

cor pulmonale treatment

Answer 10

Diuretics (furosemide)

O2 therapy

Question 11

Croup labs

Answer 11

Caused by virus 
CBC - lymphocytes indicate viral infection 
Bronchoscopy 
Lateral Neck X-ray - pencil/steeple sign
Sputum culture

Question 12

Croup treatment

6 months to 5 years

Answer 12

Cool mist aerosol
Antiviral medication
Corticosteroids

Question 13

Epiglottis labs

2-6 years

Answer 13

Rapid onset bacterial infection 
Strider
Bronchoscopy 
Lateral neck x ray - thumb sign 
Sputum culture

Question 14

Epiglottis treatments

Answer 14

Racemic epinephrine
Antibiotics
Intubation

Question 15

Guillain Barre Syndrome labs

Answer 15

ABG - acute ventilatory failure with hypoxemia.
PFT - reduced volumes
Lumbar puncture (spinal tap) elevated protein level and elevated IgM levels

Question 16

Clinical indications of guillain barre

Answer 16

Fever, weakness, shallow breathing, diminished with crackles and rhonchi

Question 17

Guillain Barre treatments

Answer 17

Heparin
If hypertensive episode occurs nitroprusside or phentolamine are used
Plasmapheresis
Immunoglobulin therapy

Question 18

Guillain Barre respiratory treatments

Answer 18

O2 therapy such as CPAP to help with atelectasis
Suctioning
Mechanical ventilation pressure control

Question 19

Myasthenia Gravis Labs

Answer 19

Tensilon test - measures endrophonium
ABG- acute ventilatory failure with hypoxemia
PFT - reduced volumes. decreasing Vt, VC, MIP
PRESSURE control mechanical ventilation

Question 20

Obstructive Sleep Apnea LAB

Answer 20

Polysomnography

Question 21

OSA/CSA treatments

Answer 21

OSA- CPAP

CSA- BIPAP

Question 22

Cystic Fibrosis Labs

Answer 22

Sweat Chloride test - chloride level >60 mEq/L
ABG
Immunoreactive Trypsinogen Test (IRT) for babies who do not produce enough sweat.
Stool fecal fat test

Question 23

Cystic Fibrosis treatments

Answer 23

Mucolytics - Dornase Alpha
CPT
Postural drainage
Antibiotics

Question 24

Pneumonia labs

Answer 24

Chest X ray 
ABG
Viral or bacterial 
Lymphocytes - viral
Neutrophils- bacterial

Question 25

Pneumonia treatments

Answer 25

Antibiotics

High flow CPAP/BIPAP- shunting of alveoli