Random respiratory path stuff Flashcards
0
Q
Anatomic defenses
A
Nose retains >10u particles
Bronchial bifurcations 2-10u trapped at bifurcations (ett tube bipasses some of this
.5-2u reach lungs and are hopefully phagocytosed
1
Q
Stages of lobar pneumonia
A
Congestion - alveolar spaces with neutrophils and fluids- capillary engorgement
Red hepatization- more neutrophils, fills alveolar spaces
Gray hepatization- neutrophils, debris and fibrin
Resolution- “organizing pneumonia” Balls of fibroblasts
2
Q
How long does it take for CXR to clear
A
6 weeks after pneumonia
3
Q
Who should get pneumococcal vaccine
A
>65 yo. Chroonic illness Asplenia Native americans/Native alaskans Immunosupression
4
Q
When should I tap
A
> 1/2 hemithorax,pos smear, culture, or <7.2 pH
5
Q
Wells score for PE
A
Signs, symp of DVT 3 Alternative diagnosis < PE 3 HR >100 1.5 Immob/surg within 4 ws 1.5 Previous VTE 1.5 Hemoptysis 1 Malignancy 1 26 high
6
Q
tPA for PE?
A
NOT IN HYPERTENSIVE PATIENT YOU COCKADODIE
