lungs

Question 1

when we say collapsed lung medically speaking what is it

Answer 1

atelactasis

Question 2

atelectasis

Answer 2

collapse lung- LOSS OF LUNG VOLUME
can be the whole lung, or a section of the lung.

can be caused by obstructive causes like a Tumor, mucous plug so air is not reaching the alveoli so they just collapse.

non obstructive would be like things in the pleural space putting pressure on the lung, pleural effusion, pneumothorax,

Question 3

RF for atelactatsis

Answer 3

after surgery - you are not aerating the lungs properly
prolonged bed rest
very common with general anesthesia

Question 4

Pleurisy everything you know

Answer 4

Or pleuritis
Inflammation of pleura
So anything that causes irration can cause it like viral infections, PE, pneumonia

Will hear friction rub on inhalation and exhalation
Is pleuritic, coughing , deep breathing
Will lie on affected side to stop pleura moving
Ask pt to hold breath will stop noise

Question 5

Dx between pleurisy and pericarditis

Answer 5

Google

Question 6

Causes of pleuritic chest pain

Answer 6

Don’t forget the cardinal 6
1. PE
2.ACS
3. AD
4. Pneumothorax
5. Pneumonia
6. Pericarditis

Ribs
Intercostal neuralagia
Costochondriits
Viral pleurisy

Gi; IBD

Auto immune

Question 7

Five on 5 lingo (south Tyneside )

Answer 7

1. When someone is wheezy with Copd you prescribe a pack which include 5 mg salbutamol and 500 micrograms of ipratropium bromide

Question 8

Regarding Copd patient when can you not send a pt home

Answer 8

. Oxygen requirement

Any vitals not clear

Question 9

Side effects of anticholinergucs

Answer 9

Dry mouth
Constipation

Question 10

When is Copd symptoms the worst

Answer 10

Morning

Question 11

B2 agonists side effects

Answer 11

Tremor
Tachy and palps
Hyookalemka
Paradoxical bronchial spasm

Question 12

What’s important investigations with Copd

Answer 12

1. CXR(need to see if there is an underlying cause or something else,)
2. VBG
3. ABG (maybe if you want details with the sats)

Question 13

What does productive cough mean

Answer 13

A wet cough like mucous

Question 14

What are the indications for an abg ?

Answer 14

Most of the time it’s if the patient is a new oxygen requirement as you need specific details

Question 15

Smokers cough

Answer 15

Very common

Often productive and brown but can be dry

Smoking damages the cilia so allowed mucous to build

Smoking causes inflammation which causes increase mucous production