Respiratory

Question 1

COPD exacerbation:
symptoms?
tx?

Answer 1

see increased dyspnea, increased cough, or increased sputum

tx: 1)supplemental O2 (noninvasive + pressure or intubate) (goal 88-92%)
2) systemic steroids (NOT inhaled!)
3) inhaled bronchodilators (albuterol, ipratropium)
4) antibiotics if more than 1 symptom above present

Question 2

Lung CA paraneoplastic syndromes (3)

Answer 2

Small cell

1) Lambert-Eaton
2) SIADH

Squamous cell
3) PTHr

Question 3

Pulmonary Fibrosis is a side effect of this drug

Answer 3

Amiodarone
(class III antiarrhythmic)
can cause a lot of other lung probs

other AE of amiodarone :

1) blue-grey skin discoloration
2) thyroid dysfunction
3) hepatotoxicity
4) corneal deposits
5) nonpitting pedal edema

Question 4

assessing a PE

Answer 4

need a CONTRAST CT or pulm angiogram

never noncon CT

Question 5

EKG changes for PE

Answer 5

S1 Q3 T3