PULM Flashcards
How would you treat a patient’s cough/dyspnea/sore throat x 7-10 days?
For Bronchitis:
1st Cephalosporin
2nd Macrolide (Bactrim)
A patient with CF has a chronic daily cough, with thick, foul smelling sputum – dx? Tx?
Acute bronchiectasis
Tx with floroquinolones
Common causes of pneumonia?
Strep pneumoniae (community); Pseudomonas & MRSA (hospital)
How do you treat pneumonias?
Community – Macrolide
Hospital – Floro
Peds – Amoxicillin
How do you treat pertussis?
Azithro
If a patient has had the flu for less than 2 days what could you potentially give them?
Oseltamivir or Zanamivir
A vitamin A deficiency is also associated with what other disease?
CF
If on Chest XR you see bilateral hilar lymphadenopathy, then you do a biopsy and you noncaseating granulomas – dx?
Sarcoidosis
if you see honeycombing on chest Xr – dx?
Asbestosis
What form of lung cancer is common in nonsmokers?
Bronchogenic adenocarcinoma
What form of lung cancer is common in smokers and is very aggressive?
Small cell
What would the FEV1 be for intermittent or mild asthma? The FEV1/FVC ratio?
FEV1 = 80%+
FEV1/FVC = normal
What would the FEV1 be for moderate to severe asthma? The FEV1/FVC ratio?
Moderate: FEV1 = 60-80%, FEV1/FVC reduced by 5%
Severe: FEV1 = less than 60%, FEV1/FVC reduced by 5%
If a patient has intermittent asthma, what is the tx?
SABA prn (Albuterol, levalbuterol)
**If used more than 2 days/week need to step-up
If symptoms are more than 2 days/week (but not daily) and nighttime symptoms occur 3-4x/month – what levels of asthma? How do we treat?
Mild Persistent asthma
**ADD a low-dose ICS (fluticasone, budesonide)
If that doesn’t control symptoms enough consider a medium dose ICS OR add a LABA
(Salmeterol, formoterol – short time ONLY)
