Respiratory Flashcards

1
Q

Asthma treatment pathway

A
  1. Beta-2 agaonist - Salbutamol with Spacer
  2. Inhaled corticosterid - Beclametasone, Fluticasone
  3. Long Acting Beta-2 agonist - Salmetrol, Foroterol
  4. Oral Corticosteroid - Oral Prednisalone
    SEVERE - IV Aminophylline
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2
Q

Treatment for community acquired Pneumonia

A

Amoxicillin

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3
Q

Treatment for community acquired Pneummonia. Patient is allergic to Penicillin

A

Doxycycline, Clarithromycin, Erythromycin

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4
Q

Treatment for Pseudominas infection

A

Ciprofloxacin.

If severe IV Gentamicin

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5
Q

Pneumonia from Birds

A

Chlamydia Psittaci (Treatment is Tetracycline)

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6
Q

Pneumonia from Sheep/Goats

A

Coxiella Burnetti

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7
Q

Pneumonia linked to HIV

A

Pneumocystis carinii (Treatment is co-trimoazole)

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8
Q

Hospital acquired Pneumonia treatment

A

Ceftazidime

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9
Q

Standard causes of Pneumonia:

  1. Elderly, Pneumonia after influenza infection?
  2. Elderly, Headache, Anaemia, Skin rash. Cold agglutins detected in blood?
  3. Young, flu-like symptoms a week ago, hyponatraemia, lymphopenia?
A
  1. Staphylococcus aureus
  2. Mycoplasma Pneumoniae
  3. Legionella (often from water)
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10
Q

Common conditions:

1. Young, productive cough, clubbed, bilateral coarse crackles

A
  1. Cystic fibrosis
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11
Q
  1. Presents with Weight loss, cough, haemoptysis
A
  1. Carcinoma
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12
Q
  1. Cough producing pink, frothy sputum, tachycardic, bibasal end-inspiratory crackles. Raised JVP.
A
  1. Pulmonary Oedema
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13
Q
  1. Fever, shortness of breath, right sided chest pain, Right side of chest has reduced expansion.
A

Pneumonia

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14
Q
  1. Farmer, several hours after starting work
A

Allergic alveolitis

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15
Q

Treatment for COPD

A
  1. Oral Salbutamol (or anticholinergic i.e Ipratropium, Tiotropium)
  2. Aminophylline
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16
Q

Asthma

A

FEV1 decreased, PEFR decreased

17
Q

COPD

A

FEV1 decreased, FVC decreased, PEF decreased, FEV/FVC decreased

18
Q

Asthma

A

Eosinophilic airway inflammation

19
Q

COPD

A

Neutrophilic inflammation

20
Q

Sarcoidosis

A

Non-caseating Granuloma formation

Treated with corticosteroids

21
Q

Cancer

A

Uncontrolled proliferation of epithelial cells

22
Q

Which Nerve supplies the lungs

A

Phrenic Nerve

23
Q

How many lobes does the right lung have

A

3

24
Q

How many lobes does the left lung have

A

2

25
Q

Sarcoidosis symptoms

A

Fatigue, Joint pain, Weight loss, Tnder nodules on shins

26
Q

What is the name of the stain used for TB

A

Ziehl-Neelsen (Acid-fast bacilli present)

27
Q

Differentiate between Type 1 and 2 Respiratory Failure

A

Measure arterial blood gas

  • type 1 - Low O2, Normal CO2
  • type 2 (Low O2, Low CO2)
28
Q

Differentiate between COPD and Asthma

A

Spirometry

-allows you to work out FEV1, FVC, FEV1/FVC

29
Q

Differentiate between Mild and Moderate community acquired pneumonia

A

CURB Score

Confusion, Urea, Resp rate,BP and age

30
Q

Rate of chest compressions in Respiratory arrest

A

10 per minute