Resp Flashcards

1
Q

Scale used for assessing sob

A

MRC dyspneoa scale

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2
Q

Colour of sputum

A

Yellow/ green = infection

Dark/ fowl smelling = lung abscess

Pink frothy = pulmonary oedema

Red = blood needs investigating

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3
Q

What score can be used for PE

A

Well score

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4
Q

What score can be used for pneumonia

A

Curb -65

Confusion 
Urea 
Resp rate 
Blood pressure 
Age 65
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5
Q

What is pulmonary ventilation

A

Process air flows in and out of lungs

Done through contraction of muscles and the negative pressure system

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6
Q

What is external respiration

A

Exchange of gas between alveoli and the blood

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7
Q

Internal respiration is

A

Gas exchange between blood stream and the tissues in the body

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8
Q

Transportation of gases is

A

Oxygen travelling with haemoglobin and co2 travelling around as bicarbonate ions to

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9
Q

Homeostatic control of respiration

A

Body’s ability to maintain respiratory rate

Detect through pH, demand for oxygen send signals to respiratory centres

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10
Q

Treatment for asthma

A

Salbutamol
Ipratropium bromide
Hydrocortisone
Adrenaline

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11
Q

Treatment for copd

A

Salbutamol

Ipratropium bromide

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12
Q

Acute severe asthma

A

PEF - 33-50
RR > 25
Heart rate > 110
Inability to complete full sentences

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13
Q

Life threatening asthma

A
PEF <33 
SpO2 less than 92 
PaCO2 normal 
Silent chest 
Cyanosis 
Poor resp effort 
Exhaustion 
Altered conscious level 
Hypotension
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14
Q

Risk factors for asthma

A

Previous near fatal asthma
Previous hospital admissions
It’s admissions

Non compliance to medication

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15
Q

Pe ecg findings

A

S wave in lead 1
Q waves in lead 3
Inverted Twaves in lead 3

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16
Q

How to do chest decompression

A

Biggest cannula

Into the 2nd ic mid clavicular above 3rd rib = avoids vasculture

Into the 5th anterior axillary

Hissing sound

17
Q

Pneumothorax is

A

When air goes in between the pleura the visceral and parietal layer

Means lung does not expand can put pressure on the heart

18
Q

In tension pneumothorax why don’t u lay a patient down

A

Can result in haemothorax

19
Q

What does pursed lip breathing do

A

Maintains positive pressure

20
Q

Stages of pneumonia

A

Hyperemia
Red hepatisation
Gray hepatisation
Resolution

21
Q

What is hyperemia in pneumonia

A

Initial inflammatory response occurring in the area of lung infection, it is characterised by increase blood flow and increase capillary permeability at the site of infection

22
Q

What is red hepatisation

A

Alveoli fill with red blood cells, exudate and fibrin produced as part of the inflammatory response

23
Q

What is gray hepatisation

A

White blood cells colonise the infected part of the lung. The fibrin deposits accumulate throughout the area of injury and phagocytosis of cell debris occurs

24
Q

What is resolution pneumonia

A

Inflammatory and immune response wave: cell debris, fibrin and bacteria are digested and macrophages the clean up crew of the inflammatory reaction, dominate