Respiratory Flashcards
What volume should surgical intervention be considered with a Chest tube
When drainage exceeds 1 L
What would be visualized with Mallampati Airway classification III
-Hard palate
-soft palate–base of uvula
Latent TB treatment
Single drug therapy
Isoniazid + vitamin B6 x6 months
Typical Antibiotic treatment for CAP
Oral Amoxicillin
Azithromycin- a macrolide
-Ceftiraxone
Common pathogen is streptococcus pneumoniae
Complication of barotrauma encountered with Mechanical ventilation
Aveolar- Pleural- Fistula (APF)
Gold standard imaging for diagnosing Interstitial Lung Disease (ILD)
High resolution CT
s/s:
-worsening dry cough and fatigue
-Rales in base of lungs
-gradual increase in SOB
-Hx of smoking and lung CA
Characteristics of chylous effusion
- milky, white appearance
-fluid has a high triglyceride count greater than 110 mh/dl
-elevated WBC
-higher protein and lower LDH
Chylothorax usually occurs when the thoracic duct is damaged
Anticipated finding in Status asthmaticus
-Dehydration
-Tachycardia
- Elevated pCO2
-Spontaneous pneumothorax may occur
Antibiotics used for Hospital Acquired Pneumonia (HAP)
-vancomycin- to cover MRSA
-Piperacillin-Tazobactam (Zosyn)
- Meropenem
-Cefepime
Diagnostic imagining to Pulmonary hypertension
-Right heart catheterization
s/s
-Right axis deviation with right ventricular hypertrophy
- TTE with show severe tricuspid regurgitation
What reverses bronchospasm (difficulty bagging due to stridor after intubation)
Nebulized racemic epinephrine
s/s of Pulmonary edema
- Dyspnea
- Tachypnea
-Wheezing and bilateral crackles
-Pink frothy sputum
Antibiotic treatment for Legionella spp (atypical CAP)
Azithromycin (Zithromax -macrolide
Characteristics of Cor Pulmonale
-synonymous with right heart failure
-enlargement of the RV secondary to pulmonary disease
Right heart failure results from pulmonary disease and primary PA hypertension
Emperic therapy for VAP
Vancomycin or Linezolid - to cover MRSA
Piperacillin-Tazonactam
Levofloxacin (Levaquin)
Meropenem