Pulmonary Flashcards
Treatment of COPD
Corticosteroids (inhaled, oral, IV) O2 Prevention (vaccines, smoking cessation0 Dilators (SABAs, LABAs) Experimental Rehab
RFs for suicide
Social isolation (divorced, widowed)
Lesbian/gay
Stress
Access to guns
Family history
History of previous attempt
Concurrent chronic mental or medical illness
Paxil
Paroxetine
Effexor
Venlafaxine
Remeron
Mirtazapine
Patients with high risk of stroke following a TIA
Age >60
Blood pressure elevation
Unilateral weakness, speech disturbance
Neurologic symptoms from TIA lasting >60 minutes
Diabetes
Rapid acting insulins
Lispro or Aspart
Start in 15 minutes and peaks in 30-90 minutes
Lasts for 3-5 hours
Short acting insulin
Regular insulin
Starts in 30 minutes and peaks in 60-120 minutes
Lasts for 5-8 hours
Intermediate acting insulin
NPH
Starts in 13 hours; lasts for 18-24 hours
Long acting insulins
Glargine and Detemir
Starts in 1 hour and lasts for 24 hours
Intermittent asthma classifications
Symptoms: <2days/week
Nighttime awakenings: <2x/month
Short acting B-agonist use: <2 days/week
Interference w/ normal activity: none
Lung fnxn: Normal FEV1 between exacerbations, FEV1/FVC ratio normal
Mild asthma classification
Symptoms: >2days/week but not daily
Nighttime awakenings: 3-4x/month
Short-acting B-agonist use: >2days/week but not daily
Lung fnxn: FEV >80% predicted, FEV/FVC normal
Moderate asthma exacerbation classification
Symptoms: Daily
Nighttime awakenings: >1week but not nightly
Short acting B-agonist use: Daily
Lung fnxn: FEV >60% predicted, FEV/FVC reduced by 5%
Severe asthma classification
Symptoms: Throughout the day
Nighttime awakenings: Often nightly
Short acting B-agonist use: Several times per day
Lung fnxn: FEV1 <60% predicted, FEV/FVC reduced by >5%
