Pulmonary

Question 1

Clinic dx test -Spirometry

Answer 1

Copd

Question 2

Txt for COPD?

Answer 2

Beta agonist ( cause bronchodilator)
    1) SABA - albuterol rescue "-terol"
    2) LABA - "-terol"
Inhaled anticholinergic
    Prevents bronchoconstriction
    "-tropium"
     BAD side effects! "Oh this drug, it makes       me pink, sometimes, I can't think or even blink. I can't see, I can't Pee, I can't spit, I can't shit.

Inhaled steriods
“-one” and/or “-ide”
Combo with bronchodilator

Question 3

What’s the prescribing strategy for COPD?

Answer 3

1) SABA
2) Long acting anticholinergic or LABA w/rescue
3) ICS + LABA or LA anti-cholinergic with rescue
4) ICS + LABA and/ or LA. Anti-cholinergic plus rescue

Question 4

What severity is the asthma if symptoms are > twice a week but less than once a day?

Answer 4

Mild persistent asthma

Question 5

What severity is asthma if they have symptoms daily but not all day?

Answer 5

Moderate persistent asthma

Question 6

Continuous symptoms all day, you need to refer her out. What type of asthma is this?

Answer 6

Severe persistent asthma

Question 7

What severity of asthma it if symptoms are less than twice a week

Answer 7

Intermittent asthma

Question 8

What drugs are given an asthma only?

Answer 8

SABA, ICS, and LABA

A steriod as first treatment and prescribed alone is okay with asthma patients only

Never give LABA alone with asthmatic!!!! Can only do that with a COPD pt

Question 9

Healthy people will normally get what type of pneumonia and how is it treated?

Answer 9

Atypical: m.pneumoniae a and chlamydophilia pneumoniae.

A macrolide (azithromycin or clarithro) or doxycycline

Question 10

Unhealthy patients or immunocompromised patients will get drug-resistant pneumonia. What is the number one common bug in community acquired pneumonia and immunocompromised patients and how do you treat it?

Answer 10

S. Pneumonia

Quinolone! Levofloxacin, gemifloxacin, or moxifloxacin

If can’t have a quinolone, then rx a Beta-Lactam (PCN or Ceph) plus Macrolide. Or instead of Macrolide rx doxy

Question 11

FEV/FVC 2 yrs, sputum production, dyspnea, smoker.

Answer 11

COPD