Respiratory Flashcards
Where would you place a chest drain
Triangel of safety 5th IC space Axilla lateral pec anterior lat
What happens to the transfer coefficient in restrictive lung disease
It increased (K CO)
3 systems involved in Wegeners Granumlomatosis
ENT (saddle shaped nose)
Respiratory
Kidney (glomerulonephritis)
Medication that causes lower lobe fibrosis
Amiodarone
Empyema blood results
Reduced pH
Reduced glucose
Increased LDH
1st line abx for pneumonia
amoxicillin
where does fibrosis occur in tb
upper zone
what does a ph lower than 3.5 indicate in asthma
co2 retention
life threatening
1st medication in COPD
Tiotropium
What can giving high O2 do to a COPD patient
Ankle oedema
Hb
What can renal cell carcinoma cause in the lungs
Cannonball mets
MOA of bupropion
Noradrenaline and dopamine reuptake inhibitor
Nicotinic antagonist
what happens to platelet levels in lung cancer
Increase
what happens to the bp in tension pneumo
Reduces (obstructed cardiac output)
FEV1 % in asthma reversibility
Increase by 12%
Organism to cause cavitating pneumonia
Klebsiella
Treatment of a secondary pneumothorax with SOB
Chest drain
4 contraindications to lung cancer surgery
SVC obstruction
FEV reduced by 1.5
Vocal cord paralysis
Malignant effusion
COPD treatment
SOB after SABA
then add LABA + LAMA
or LABA/ICS depending on asthma features (eosinophils)
2 features of ARDS
bilateral alveolar shadowing
acute pancreatitis
Treatment of RTI
Oral doxyxycline
Treatment of a secondary pneumothorax less than 1cm
Admit with o2 for 24 hours
Peak flow in severe asthma
Below 30%
Indication for NIV
Based off the ABG
Causative organism for bronchiectasis
Haemophilus
Facial rash and lymphadenopathy
Sarcoidosis
Transfer factor reduced in…
IPF
What medication is used to stop smoking
Contraindication
Bupropion
NOT in epileptics
What condition would give recurrent chest infections and infertility
Kartagener (primary ciliary dyskinesia)
Reduce the risk of atelectasis (collapse)
Chets physio
What medication worsens asthma
Aspirin
Most common causative organism in COPD exacerbation
Haem influenza
Management of a patient over 40 y/o with haemoptysis
Refer 2ww
Requirements for home oxygen therapy with COPD
2 Po2 BELOW 7.3KPA
In what zone is coal worker pneumoconiosis found
Upper zone
Cause of COPD in youth
AIAT deficiency
Obstructive disease
Hepatocellular carcinoma
Medication for COPD prophylaxis
Azithromycin
Electrolyte disturbance in sarcoid
hypercalcaemia
Mimic of a pneumothorax in COPD
Bullae
What can flail chest cause
Tension pneumo
Smoking in pregnancy - what can you offer
Nicotine replacement therapy
Most common lung cancer in non-smokers
Adenocarcinoma
The CRP lags
Treatment and prevention of altitude sickness
Treatment: descent, oxygen, dexamethasone
Prevent: acetazolamide
Lymph nodes in TB
Bilateral hilar lymphadenopathy
Time between inhaler puffs
Wait 30 seconds
Diving and pneumothorax
No diving
What id budesonide
ICS
Anion gap in DKA
Increased
3 features of a mitral stenosis murmur
Loud S1
Diastolic
AF
2 features of bronchiectasis
Excessive sputum
Parallel line shadows
Management of normal CO2 in asthma
Exhaustion
ICU
Nasal rash
Sarcoidosis
4 causes of an anterior mediastinal mass
Teratoma
Thymic mass
Thyroid mass
Terrible lymphadenopathy
What can sleep apnoea cause
HTN
What happens to ACE in sarcoid
Increases
Treatment of sarcoid
No Sx: no treatment
Sx: prednisolone
4 sx of sarcoid
Hypercalcaemia Lung disease Uveitis Rheum Heart
What type of effusion does SLE cause
Exudative
Prescribe a leukotrine antagonist before a LABA
