Pulmonology Flashcards
1
Q
SOB initial orders
A
- Oxygen
- Continues oximeter
- Chest x-ray
- ABG
2
Q
O2 indication in patients with COPD
A
- pO2< 55
- O sat< 88%
3
Q
Pneumococcal vaccine
A
-At age 65
Give 13 polyvalent first and 23 polyvalent a year later.
-Any age if:
Smokers
COPD
Asthma
Steroid Use
4
Q
Steroids indications on PCP pneumonia
A
pO2<70
A-a gradient >35
5
Q
Asthma difinition
A
- Increase in the FEV of >12% after albuterol
- Decrease in the FEV of >20 % after metacholine
6
Q
when to intubate a COPD
A
-If there is a worsening drop in pH indicative of a worse respiratory acidosis.
7
Q
VAP treatmetn
A
-Imipenem or merpenem, piper/tazo or cefepinme+ Genta +Vanco or Linezolid
