Respiratory

Question 1

what is the longterm management for COPD?

Answer 1

stop smoking
prophylactic abx - azythromycin

SABA or LAMA (iprartopium)
LABA + LAMA (no asthmatic features) or LABA + ICS (asthmatic features)
LABA + LAMA + ICS

Question 2

what is the criteria for long term oxygen therapy?

Answer 2

non smoker and 2 measurements of PO2 <7.3

OR non smoker and PO2 7.3-8 AND secondary polycythemia, peripheral oedema or pulmonary HTN

Question 3

what are some indications for non-invasive ventilation?

Answer 3

pH 7.25-7.35
pulmonary oedema
T2RF secondary to chest wall deformity

Question 4

what is the long term management of asthma?

Answer 4

SABA
SABA + ICS
SABA + ICS + LKTAntagonist
LABA + ICS + LKTA
LABA + high dose ICS + LTKA

Question 5

when do you discharge someone admitted for asthma?

Answer 5

if treated in 1 hour - discharge

if admitted to ward then discharge when recovered for 24 hrs

Question 6

what are the severities of asthma?

Answer 6

moderate
PEFR 75-50

severe - ADMIT IF NO RESPONSE
PEFR 50-33
can’t complete sentences

life threatening -ADMIT
- PEFR <33%
- confusion
- silent chest
- PO2 <92%

near fatal - ADMIT
- raised CO2

Question 7

what is the CURB 65 score?

Answer 7

Confusion
Urea >7
RR >30
BP <90/60
65 and older

1 - abx at home
2 - admit
3 -ITU