Pulm 1 Flashcards
most effective drug for controller therapy asthma
ICS (twice a day)
early COPD’ers will have what on exam?
nothing, can be normal in early stages
hemoglobin is normal, o2 reduce, sat02 normal at rest. cxr hyperinflated lungs with flattened diaphragm. Am I emphysema or chronic bronchitis.
emphysema
hemoglobin is eleavted, o2 reduced, c02 elevated, CXR increased interstitial markings “dirty lungs”. normal diaphragm. Am i emphysema or chronic bronchitis?
Chronic bronchitis
in emphysema is total lung capacity increased or decreased?
increased
thin, elongated chests, with increased AP diameter and BIG BAGGY LUNGS, what am I?
Emphysema
Criteria for chronic bronchitis
Productive cough more than 3 months in a year for two consecutive years.
best copd treatment
stop smoking, o2 therapy, and Atrovent (anticholinergic, ipratropium)
SABA for exacerbation
best test for copd status?
ABG (and 6 minute walk test)
common bugs if COPD’ers get PNA?
HiB (Most common), and strep pneumo
the 3 criteria for an acute COPD exacerbation
cough increases, sputum increases, dyspnea increases
best choice to diagnose bronchiectasis?
CT
what you see on chest xray in bronchiectasis?
tram tracks
if HR >100, RR > 24, Temp > 100.4 (38), and age > 64, what can we think if were diagnosing bronchitis?
its PNA, not bronchitis
hemoptysis is….
> 200ml in 24 hours of coughed blood
in a workup for hemoptysis, we get sputum cultures, and CT. what wont CT show?
endobronchial lesions
MCC of epiglottitis
Hib, and recently in peds is GABHS
tx for epiglottitis
IV ampicilin/sulbactam, and a cephalosporin
what is a patient gets it, and a 4 year old in the house isnt Hib vaccinated?
give Rifampin to everyone in the house to kill any carrier
Whats the most common cause of severe chronic lung disease in young adults?
Cystic fibrosis
what does cystic fibrosis xcr show?
hyperinflation
What do CF patients need to be vaccinated against?
flu and pneumococcal
MCC of bronchiolitis in peds?
RSV or Adenovirus
MCC of bronchiolitis in adults?
inhalation injury, drug exposure, post infection
