Pulm behavioral science Flashcards
What may be essential to successful treatment of TB?
Access to substance abuse treatment. 81% abuse drugs or alcohol
Why is sarcoidosis misdiagnosed as a somatization disorder?
Gradual onset with relapsing remitting course Peripheral neuropathies are present “it is an occult multisystem disease.”
What is the most important factor determining quality of life in idiopathic pulmonary fibrosis?
dyspnea Breathlessness is related to depressive symptoms
What causes the neuropsychiatric symptoms associated with isoniazid treatment?
weak inhibition of MAO causing mania & psychosis predisposing factors include alcoholism, diabetes, hepatic insuff, old age, slow acetylation & family & personal hx of mental illness
What are some disorders that promote hyperventilation?
asthma, angina, PE
What are drugs that cause central hyperventilation?
carbamazepine, salicylates, topiramate
What are some characteristics of vocal cord dysfunction?
○ It is a conditioned response or functional disorder ○ May result in secondary anxiety • Typically preceded by allergy, asthma, reflux, irritant exposure, dyspneic episode in athletes Presents as severe resp distress with normal ABG or resp alkalosis and is associated with wheezing loudest over the larynx
Predictors of psychological distress in lung cancer?
female, living alone, having no children as confidants, relying on nursing staff as confidants, having a helpless or hopeless coping style
Readiness to quit smoking in lung cancer patients is associated with?
○ Emotional distress ○ Fatalistic beliefs ○ Greater nicotine dependence ○ Less self-efficacy ○ Relatives at home who smoke
What is the most common symptom of psychological distress in lung cancer victims?
Insomnia also: loss of libido, loss of interest or ability to work, concerns about family, poor concentration
Is there a survival advantage in lung transplant for COPD?
No. improvement in function & quality of life has been observed But survival advantage for CF and IPF
What are some side effects of beta adrenergics?
marked anxiety, tachycardia, tremor
What medication is preferred for anxiety treatment in hypercapnic patients?
buspirone
It can be used with terbutaline and theophylline
What anti-anxiety medication is associated with a decrease in exercise tolerance and has no effect on breathlessness?
diazepam
What are some shorter-acting benzodiazepines that can be used to decrease breathlessness in nonCO2 retainers?
alprazolam, lorazepam, oxazepam
O L A
Ola, want to take some meds to help you chill and breathe better?
