PULMONARY Flashcards

1
Q

At term, what happens to diaphragm? Subcostal angle?

A

Diaphragm rises

Subcostal angle widens

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2
Q

At term, what happens to thoracic circumference? Thoracic cage?

A

Thoracic circumference increases

Thoracic cage widens

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3
Q

Term lung volumes

Inspiratory capacity

A

Increases

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4
Q

Term lung volumes

Functional residual capacity

A

Decreases

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5
Q

Term lung volumes

Tidal volume

A

Increases

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6
Q

Term lung volumes

Expiratory Reserve Volume

A

Decrease

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7
Q

Term lung volumes

Residual volume

A

Decreases

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8
Q

Term lung volumes

Total lung capacity

A

Decreases

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9
Q

Peak expiratory flow rates

A

Increase progressively

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10
Q

Airway conductance

A

Increases

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11
Q

Total pulmonary resistance

A

Decreases

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12
Q

Lung compliance

A

Unchanged

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13
Q

Hormone affecting airway conductance and total pulmonary resistance

A

Progesterone

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14
Q

Term lung volumes

Vital capacity

A

Unchanged

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15
Q

Asthma complications in pregnancy.

Maternal

A

Depression
Miscarriage
CS
Preeclampsia

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16
Q

Asthma complications in pregnancy

Fetal

A

Fetal growth restriction

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17
Q

Acute asthma first line treatment

A

Beta agonist

Terbutaline

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18
Q

When to admit pregnant asthma?

A

Respiratory distress

Status asthmaricua

19
Q

Stepwise treatment in Asthma

A
Mild intermittent: SABA
Persistent
— mild: SABA, low dose ICS
— mod: SABA, low dose ICS, LABA
— severe: SABA, high dose ICS, LABA
— very severe: SABA, high dose ICS, LABA, OCS
20
Q

Classify Asthma

Symptoms throughout the day

A

Severe persistent

21
Q

Classify Asthma

Nocturnal awakenings 3-4x a month

A

Mild, persistent

22
Q

SABA Daily

A

Moderate Persistent

23
Q

Classify Asthma

Activity limitation, minor

A

Mild persistent

24
Q

Classify Asthma

SABA 2 or less days/week

A

Intermittent

25
Classify Asthma | Day symptoms 2 days per week
Intermittent
26
Classify Asthma | Night awakening 3-4x a month
Mild persistent
27
Classify Asthma | FEV 80% predicted
Mild persistent
28
Classify Asthma | 60-80% predicted
Moderate persistent
29
Classify Asthma | FEV1/FVC Normal
Intermittent or mild persistent
30
Classify Asthma | FEV1/FVC reduced 5%
Moderate persistent
31
Classify Asthma | FEV1/FVC reduced >5%
Severe persistent
32
Low dose ICS safe in pregnancy
Budesonide
33
LABA safe in pregnancy
Salmeterol
34
OCS safe in pregnancy
Prednisone
35
Most common etiology of CAP
Strep pneumonia
36
Most common cause of influenza pneumonia
Influenza A and B
37
Most frequent pneumonia complication
Premature rupture of membranes
38
Pneumonia complications in fetus
Low birth weight
39
Bacterial pneumonia management
Hospitalize pregnant women with pneumonia by Xray
40
Antibiotic therapy in bacterial pneumonia
Macrolide - initial monotherapy Fluoroquinolone - severe cases B-lactams (co-amox)
41
Management of influenza pneumonia
Supportive | Neuraminidase inhibitors to shorten course
42
Fetal response to maternal hypoxemia
Decrease cardiac output
43
Sign of a Potentially fatal asthma attack
Central cyanosis