Pulmonology Flashcards
> 12% increase in FEV1 after bronchodilator tx indicates…
Asthma
FEV1:FVC < 80% indicates…
asthma
Asthma would show a ____ FEV1 and ______ FEV1:FVC ratio
decreased
3 staples of asthma…
inflammation
hyperresponsiveness
reversible obstruction
Steps 1-6 of asthma Tx…
1: SABA
2: low dose ICS
3: low dose ICS + LABA + SABA
4: medium dose ICS + LABA
5: High dose ICS + LABA
6: high dose ICS + LABA + PO Steroids
cough > 5 days lasting 2-3 weeks
bronchitis
COPD = chronic cough that is productive of phlegm occurring on most days for _____ months of the year for ______ or more consecutive years
3 months
2+ years
3 hallmarks of COPD…
cough
sputum production
dyspnea
Dx of COPD (4)
PFTs
CXR
alpha antitrypsin
ABGs
PFTs in COPD show FEV1/FVC ratio…
< 0.7
CXR findings in COPD
perivascular markings
CBC findings in COPD…
increased H & H due to chronic hypoxia
Tx for mild COPD…
SABA
Tx for moderate/severe COPD
LABA +/- ICS
Inahler of choice for COPD…
ipratropium
single most important medication and lifestyle factor for COPD
Oxygen and smoking cessation
2 mandatory vaccines for COPD
pneumococcal, flu
Pt p/w:
Recurrent PNA
constitutional sxs
Hx of smoking
small cell lung CA
4 complications associated with small cell lung cancer
SVC syndrome
phrenic nerve palsy
recurrent laryngeal nerve palsy
horner syndrome
which lung CA complication?
obstruction of SVC by a mediastinal tumor, facial fullness, facial and arm edema, dilated veins over the anterior chest, arms, face; JVD
SVC syndrome