Pulm Flashcards
definition of mild intermittent asthma and tx?
< 2x/wk sx
night sx < 2x/mo
Bronchodilators
% of kids that outgrow asthma?
Fx assoc w/ persistent asthma (4)
60% of mild
30% of severe
Persistent in those w/ onset before 3, IgE elev, Eos, maternal hx asthma
ominous CO2 sign in asthma attack
going from low (from tachypnea) to normal / high
% of infants w/ severe RSV bronchiolitis that dev recurrent wheezing
half
HCT up to what is okay before development of HA, Joint pain, clots, hemoptysis
65
tx of acute exacerbation in CF?
aminoglycoside, PCN (piperacillin) against pseudomonas
Age: staphy –> pseudom
si/sx of hypercarbia
flushing, agitation, HAs
post op complication after T&A in pt w/ hx of OSA
pulm edema
definition of apnea
> 20sec, or w/ bradycardia or cyanosis
pleural fluid with high TG > 110 and high WBC, and high protein >3
chylothorax
TG level in transudative pleural fluid
< 50 low
chocolate colored blood
methemoglobinemia
best test for suspected aspiration / foreign body in baby and older child
baby: airway fluoroscopy
older: inspiration / expiration films
recurrent wheezing in child w/ worsening w/ feeding and neck flexion
double aortic arch
two drug choices for positive PPD and neg CXR for how long
INH or Rifampin x 9 mo
rales at bases, chronic fever / cough, hilar adenopathy
TB, active pulm
Tx: RIP: Rifampin, InH, Pyrazinamide x 2 mos –> 4 mos Rif/INH or Just Rif/INH x 9 mos
tx of TB meningitis
RIP x 2 mos AND Streptoycin, then R/I x 10 mos
AND STEROIDS
near drowning
most important key to prognosis and predictors of future deterioration requiring hospitalizatoin
- duration of asphyxia
2. hx of apnea and CPR in field, neuro or resp failure from aspiration, desat or tachypnea
placenta connection in a kid w/ PNA and splenomegaly
coxiella
