Obstructive Pulmonary Disease Flashcards
Symptoms ≤2 days/week, nighttime awakenings ≤2×/month, short-acting β-agonist use ≤2 days/week, no interference with normal activity
mild intermittent asthma
Symptoms >2 days/week but not daily, nighttime awakenings 3-4×/month, short-acting β-agonist use >2 days/week but not daily, minor limitations in normal activity
mild persistent asthma
Daily symptoms, nighttime awakenings ≥1×/week but not nightly, daily use of short-acting β-agonist, some limitation in normal activity
moderate persistent asthma
Symptoms throughout the day, nighttime awakenings often 7×/week, short-acting β-agonist use several times a day, extremely limited normal activity
severe persistent asthma
Considered the gold standard for the diagnosis of Asthma
Peak expiratory flow rate
Common in patients with cystic fibrosis, CXR shows plate like atelectasis
Bronchiectasis
Abnormal sweat chloride test
CF
Blue bloaters (hypoxia), treat with ipratropium inhaler
chronic bronchitis
Consequence of destruction of alveolar septae = Pink puffers - The body’s natural response to ↓ lung function is chronic hyperventilation. Minimal cough, quite lungs, thin, barrel chest. Chest X-ray will reveal flattened diaphragm, hyperinflation and small, thin appearing heart.
emphysema
Right heart failure caused by long term COPD history?
cor pulmonale
Is chronic bronchitis or emphysema associated with an elevated hemoglobin?
chronic bronchitis
Pink Puffer?
Emphysema - Consequence of destruction of alveolar septae = Pink puffers - The body’s natural response to ↓ lung function is chronic hyperventilation
Blue bloater?
chronic bronchitis
Only medication that improves morbidity and mortality in COPD?
oxygen
Agent of choice for COPD exacerbation?
ipratropium
First line agent of choice for acute asthma attack?
albuterol
Wet cough and foul smelling sputum in a child?
Bronchiectasis
Chronic aspiration in kids leads to plate like atelectasis on X-ray and what condition?
Bronchiectasis
Salty baby?
CF
What type of COPD is associated with hyperventilation flat diaphragm on CXR and a normal Hgb/HCT?
emphysema
What are the two types of COPD?
chronic bronchitis
emphysema
What condition is bronchiectasis often associated with?
CF
Child with chronic persistent productive cough foul smelling sputum?
bronchiectasis
