Module 8: Resp Flashcards
1
Q
What is the 1st line treatment of persistent hiccups?
A
- Chloropromazine 25-50mg po TID-QID
- S/E: Anticholinergic + extrapyramidal effects, hypotension, sedation
- D/I: Additive sedation w/ CNS depressants, incl. alcohol
- When a drug is effective in aborting hiccups, taper the dose down after 3 days
- If hiccups return, use lowest effective dose that will suppress
- If they do not return, the drug can be tapered and stopped
2
Q
How is a TST of 15 mm of induration interpreted in a patient who has had a BCG vaccination?
A
- TST is positive
- The interpretation of the test is the same in the presence or absence of Bacille Calmette-Guérin (BCG) vaccination history
- A TST finding of 10 mm or more induration should be considered a positive result
3
Q
What is a signs & symptoms of active TB infection?
A
- Malaise
- Weight loss
- Fever
- Night sweats
- Chronic dry cough
- These findings often evolve over 4 to 6 weeks in a person with active TB
- Atypical presentation is common in immunocompromised individuals
4
Q
What is considered latent TB infection?
A
- A positive tuberculin test results, but negative chest radiograph results and no suspicion of disease revealed by health history or physical examination
5
Q
What are comorbidities/modifying factors in prescribing antiobiotics for CAP?
A
- Hospitalization in the past 3 months and/or
- Heart, lung, liver or renal disease, DM, alcoholism, malignancies, asplenia, immunosuppression
6
Q
What is the typical course of antibiotics in an adult patient with mild-moderate?
A
- 7-14 days
- Shorter course can be effective in ambulatory patients
7
Q
What is the CRB-65 criteria for determining to hospitalize a patient with CAP?
A
CRB-65 Criteria
- Confusion (new onset disorientation)
- Respiratory Rate (≥30)
- Blood Pressure (SBP <90 and/or DBP <60)
- Age ≥65 years
- 1 point for each criterion
- ≥3 admit urgently
- 2 same day assessment in secondary care
- 0-1 treatment at home
8
Q
A
