Pulm more

Question 1

Symptomatic AAA is an indication for surgery, true or false?

Answer 1

true

Question 2

Indicatin for intubation in child with asthma?

Answer 2

Can’t speak

Can’t maintain sat despite treatments

altered mental status

Question 3

Egophany is seen with what lung stuff?

And decreased tactile fremetis

Answer 3

Pleural effusion. E to A changes

Question 4

Transudate is what?

Answer 4

transudate from more pressure
CHF, cirrhosis, nephrotic

Exudate is disruption of lining, so you get proteins and stuff
Neoplastic, infection, vasculitis

Question 5

Exudative effusion if what?

Answer 5

If any met!
pleural: serum protein >0.5
Pleural: serum LDH >0.6
Pleural fluid ldh>2/3 normal serum limit

Question 6

Empyema tx?

Answer 6

Need chest tube to drain

Question 7

What is pleurodesis?

Answer 7

Scarring pleural space shut

Question 8

Pneumothorax tx?

Question 9

What could cause a located pleural effusion?

Answer 9

Empyema or abscess (means doesn’t free flow, won’t move with lateral decubutus image)

Question 10

Polysomnography?

Answer 10

Sleep test (somnolent study). Calculates apnic episodes per hour

Question 11

Med for central sleep apnea?

Answer 11

acetazolamide

Question 12

Pretreatment for intubation for hear rate?

Answer 12

Atropine used for bradycardia in children

Question 13

What controlled mechanical ventilation?

Answer 13

Controls rate and volume
Initiates every breath

(patients can rest)

Question 14

Intermittent mandatory ventillation

Answer 14

Delivers rate and tidal volume, patient breaths in between. GOOD FOR WEANING

Question 15

What is synchronized intermittent mandatory ventilation?

Answer 15

Synchronizes with initiated breaths

Patient able to breath between breaths

USED WHEn weaning off of ventilation (used inlace of intermittent mandatory ventilation)

Question 16

Assist controlled ventilation?

Answer 16

Machine waits until patient breaths, then it delivers full tidal volume

Less invasive. Used for weaning

Question 17

CPAP for breathing?

Answer 17

Keeps airway open. Patient initiates every breath. Can’t regulate tidal volume or rate

May have to bounce back and forth between modes

Question 18

Extubation requirements

Answer 18

Inpiratory pressure less than 30 cm
Ventilation less than 10 L/min
Vital capacity more than 10 ml/kg
PaO2/FiO2 more than 200

Question 19

Medication used before intubation in head injuries?

Answer 19

Lidocaine decreases intracranial pressure (metastatic disease helps too)