Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

JRCALC > Respiratory > Flashcards

Respiratory Flashcards

1
Q

Indications for Adrenaline 1:1,000?

A

Anaphylaxis.
Life-threatening asthma.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Actions of Adrenaline 1:1,000?

A

Reverses allergic manifestations of anaphylaxis.
Relieves bronchospasm in acute severe asthma.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Cautions of Adrenaline 1:1,000? Route?

A

Severe hypertension may occur in patients on non-cardioselective beta blockers (e.g. propranolol).
Only given IM.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Dose of Adrenaline 1:1,000?

A

500 mcg in 0.5 ml, every 5 minutes with no limit.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Indications of Ipratropium Bromide?

A

Acute, severe or life-threatening asthma.
Asthma unresponsive to salbutamol.
Exacerbation of COPD unresponsive to salbutamol.
Expiratory wheezing.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Actions of Ipratropium Bromide?

A

Antimuscarinic bronchodilator. Considered greater benefit in children suffering asthma, and adults suffering with COPD.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Cautions of Ipratropium Bromide?

A

Use in care with patients with glaucoma, pregnancy, and prostatic hyperplasia.
If COPD is a possibility limit nebulisation to 6 minutes.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Side effects of Ipratropium Bromide?

A

Nausea.
Dry mouth.
Tachycardia/arrhythmia.
Paroxysmal tightness of the chest.
Allergic reaction.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Dose of Ipratropium Bromide?

A

500 mcg in 2 ml. Only once.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Indications of Salbutamol?

A

Acute asthma attack where normal inhaler failed to relieve symptoms.
Expiratory wheezing associated with allergy, anaphylaxis, beta-blocker overdose, smoke inhalation etc.
Exacerbation of COPD.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Actions of Salbutamol?

A

Selective beta2 adrenoreceptor stimulator. Relaxant effect on the smooth muscle in medium and smaller airways which are in spasm during asthma attacks.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Cautions for Salbutamol?

A

Patients with:
Hypertension.
Angina.
Overactive thyroid.
Late pregnancy (can relax uterus).
Bronchomalacia / laryngomalacia / tracheomalacia (abnormal softening of bronchial tubes, larynx, trachea).
Severe hypertension may occur in patients on beta-blockers and half doses should be used, unless profound hypotension.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Side effects of Salbutamol?

A

Tremor.
Tachycardia.
Palpitations.
Headache.
Feeling of tension.
Peripheral vasodilation.
Muscle cramps.
Rash.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Dose of Salbutamol? Impact of clinically significant side effects?

A

5 mg in 5 ml/2.5 ml, every 5 minutes.
No limit unless side effects are clinically significant (>140 bpm in adults, but NOT children)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Indications for Prednisolone?

A

Moderate to severe asthma exacerbations.
Exacerbation of COPD.
AND able to swallow.
Only treat COPD if response to nebuliser is poor.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Actions of Prednisolone?

A

Glucocorticoid (steroid) that suppresses part of the immune system, reduces inflammation and swelling.

17
Q

Contra-indications for Prednisolone?

A

Known administration within last 2 hours.
Not included in criteria.
Vomiting/unable to swallow.
Known hypersensitivity to steroids.
Suspected or known systemic infection.
Active peptic ulcer disease.

18
Q

Cautions of Prednisolone?

A

Heart failure.
Hypertension.
Diabetes (increases blood sugars).
Concurrent use of aspirin and NSAIDs can increase GI bleed risk.
Cyclosporin or methotrexate.
Glaucoma.
Recent MI.
Pregnant/breastfeeding.

19
Q

Side effects of Prednisolone?

A

GI discomfort.
Altered mood.
Anxiety.

20
Q

Dose of Prednisolone?

A

40 mg in 40 ml. One dose only.

21
Q

Indications for Hydrocortisone?

A

Severe or life-threatening asthma.
Acute COPD exacerbation.
Adrenal crisis (including Addisonian crisis).
Patients with suspected adrenal insufficiency or long-term steroid therapy that have become unwell.

22
Q

Actions of Hydrocortisone?

A

Glucocorticoid.
Restores blood pressure, blood sugar, cardiac synchronicity and volume.
Suppresses inflammation and immune response.

23
Q

Contra-indications and cautions of Hydrocortisone?

A

Contra-indication: Known allergy.
Caution: Avoid IM if patient likely to require thrombolysis.

24
Q

Side effects of Hydrocortisone?

A

May cause stinging or burning sensations due to phosphate preservative.

25
Q

Dose of Hydrocortisone? And route?

A

IV (slowly over 2 minutes) or IM (upper arm or thigh).
100 mg. One dose only.

26
Q

Indications of Dexamethasone?

A

Croup.

27
Q

Actions of Dexamethasone?

A

Corticosteroid - reduces subglottic inflammation.

28
Q

Contra-indications of Dexamethasone?

A

Impending respiratory failure.

29
Q

Cautions of Dexamethasone?

A

Upper airway compromise can be worsened by any procedure that distresses the child - includes adminstration.

30
Q

Side effects of Dexamethasone?

A

GI upset.
Hypersensitivity/ anaphylactic reaction.

31
Q

Dose of Dexamethasone?

A

6 mg.
One dose only.

JRCALC (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions