Resp medicine - CF and bronchiectasis

Question 1

a CF patient is colonized with pseudomonas. Management?

Answer 1

Inhaled antibiotics - Tobramycin, Aztreonam, etc.

Question 2

INITIAL emergency management of hemoptysis?

Answer 2

• ABCS
• assess for likely cause
• quantify volume of blood

LAB TESTS - ABG - lactate + Hb level

• coag screen
• group cross match

RESCUSC -

• IV access
• supplemental oxygen
• stabilize with fluids +- vasopressors
• airway protection
• reversal of anticoags
• tranexamic acid IV
• antibiotics
• localize source with CT angiography / bronchoscopy

Question 3

what amount of blood is massive hemoptysis?

Answer 3

> 200 ml