resp Flashcards
which drugs worsen asthma
NSAIDs
betablockers
life threatening asthma (the annoying ones)
peak flow <33%
O2 <92%
acute asthma exacerbation treatment
O2
salbutmamol
ipratropium bromide
magnesium sulphate
aminophylline
complications of salbutamol
hypokalaemia
lactic acidosis
tachy
what is ipratropium
SAMA
can you give SAMA + LAMA at the same time
no
tiotropium
LAMA
COPD treatment
SABA/ SAMA
asthamish - LABA/ ICS
not asthmaish - LABA/LAMA
LABA/ LAMA/ ICS
cor pulmonae
right sided HF due to resp (COPD)
COPD O2 aims
retainer - 88-92%
not 94-98%
causes of resp acidosis vs resp alkalosis
acid - COPD
alk - anxiety (hyperventilation)
associations of small cell cancer
cushings
SIADH
limbic encephalitis
lambert-eaton
associations of squamous cell carcinoma
hypercalcaemia
treatment of lung cancer
small - surgery
not - chemo & radio
COPD + pneumonia
H. influenza
pneumonia + cold sores
strep pneumonia
pneumonia + erythema multiform (+ neurological)
mycoplasma
ground glass chest CT
intersticial fibrosis
treatment of idiopathic pulmonary fibrosis
pirfenidone
nintendanib
investigation into hypersensitive pneumonitis
brochoalveolar lavage
tansudate vs exudate causes
T - HF, meigs, hypothyroid hypoalbumin
e - cancer, PE, infection
pneumothorax treatment
asymptomatic - follow up
<2cm - “
(primary - OP, secodnary IP)
> 2cm, high risk - chest drain
tension - large bore cannula 2nd intercostal space
type of shock causes by pneumothorax
obstructive
treatment of pulmonary hypertension
ca blockers
raised markers in sarcoidosis
ACE & Ca
‘egg shell ‘ calfication
silicosis
2024 asthma guildines
ICS / LABA prn
low dose MART
moderate MART
+ FeNO - specialist
- FeNO - leukotrine antagonist/ LAMA
indications for long term O2 therapy COPD
blue
breathing (FEV1 <30)
blood (polychythaemia)
ballooning
resp condition in alpha-1-ant yada yada
COPD
deteriorating O2 sats despite O2
pneumothorax?
TB investigation
latent - mantoux
active - Ziehl-Neelson smear, sputum culture
treatment of SVC obstruction
dexamethasone
lung cancer + gynaecomastia
adenocarcinoma
treatment of allergic lung asperillosis
steroids
triad of mono
sore throat
lymphadenopathy
pyrexia
pneumonia + erythema multiform
mycoplasma pneumoniea
investigation int o legionella
urinary antigen test