lungs

Question 1

nebuliser vs inhaler

Answer 1

inhaler - hand held usually with a spcer

nebs- a machine that attached to a mask that turns liquid into a mist , usually in more sever condtions and in hospitals but some people can have nebs at home

Question 2

COPD exacerbation what to give

Answer 2

1. oxygen (need to check if they are a retainer or not because not all copd patients are retainers)
2. bronchodilators (salbutomol/ipatrorpium)
3. steroids

Question 3

why is PE so hard to diagnose

Answer 3

can give a normal chest x ray

Question 4

PERC SCORE

Answer 4

used to rule out PE definitvely

basically its if you really doubt a PE but you really want to make sure. as long as its zero, it means very low PE chance no need to do anythign. but if even one postive do a dimer

age >50
sats on room air <95
tachy >100
unilateral leg swelling
hempomptysos
hormone oestrogen use (not progesterone)
prior dvt or pe

Question 5

what do you ALWAY ASK IN PATIENT IF SUSPECT PE

Answer 5

S.O.B
CHEST PAIN
INSPIRATORY PAIN
HEMOMPTYSIS!!!!

Question 6

wells score interpatation

Answer 6

> 4 PE is likely order imaging
<4 PE is unlikely but do a d dimer to rule out

Question 7

CI to ct Pa

Answer 7

contrast allergy

Question 8

PERC VS WELLS

Answer 8

WELLS very high suspiciosn
PERC - very low

Question 9

antibiotics given in pneumonia (just goofgle|)

Answer 9

usually would be amox but if allergic then move to macrolides like clarithromycin OR

doxycycline