Q's Bank (Respiratory) Flashcards
1
Q
Asthma.
Hx similar episodes Q’s
A
- Any prev. eps. of asthma?
- Any prev. eps. of SOB?
- Any chest colds (acute bronchitis) / infections recently?
* How has your breathing been at night recently?
2
Q
Asthma.
Triggers / Sx Q’s
A
- What triggers your asthma?
- Is this as bad as your asthma gets?
- Are Sx getting better / worse?
3
Q
Asthma.
Differential Diagnoses
A
- Anaphylaxis (similar hyperreactive inflammatory response)
- Arrhythmia (can also cause SOB)
- Chest infection e.g. bronchitis, pneumonia
- Anxiety (can lead to hyperventilation, sometimes mistaken for asthma)
4
Q
COPD.
PHx / Meds Q’s
A
- How long have you had COPD?
- Current (or past) smoker?
- What medications are you taking?
- Do you use home O2? If so, how much and how often?
5
Q
COPD.
Hospitalisation Q’s
A
- Been admitted to hospital before? If so, how recently and for how long?
- Admitted to ICU before?
- What other Rx/Mx did you receive in ED?
6
Q
COPD.
Cough / Sx Q’s
A
- Prodromal Sx?
- Any recent change in ADLs?
- Dry / Productive cough? (Prod: colour, volume, thickness?)
7
Q
APO.
Definition
A
> Rapid build up of fluid in the alveoli and lung interstitium (connective tissue framework) that has extravasated (leaked) out of the pulmonary circulation
build up of fluid impairs gas exchange and lung compliance (expandability)»_space;> dyspnoea & hypoxia
8
Q
APO.
Cardiogenic e.g.
A
LVF:
- valve dysfunction
- ACS
- peri/myo/endo-carditis
- arrhythmia
Increased intravascular volume:
- non/compliance w/ fluid restriction +/- diuretics
- renal failure
9
Q
APO.
Non-cardiogenic e.g.
A
- Pulmonary embolus
- Toxic inhalation
- Submersion
- Decompression illness
- Burns
- Septicaemia
10
Q
APO.
PHx / Meds Q’s
A
- Regular medications?
- Preferred sleeping position i.e. no. of pillows? (orthopnoea)
- Were you well when you went to bed?
