Respiratory Flashcards

1
Q

Rhinitis

A

Corticosteroids e.g. Beclometasone, prednisolone

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2
Q

Aspiration Pneumonia

A

MAG

Metronidazole + Amoxicillin + Gentamycin IV

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3
Q

Acute Asthma

A
O SHIT MAN
Oxygen 100%
Salbutamol (nebuliser)
Hydrocortisone or Prednisolone
Ipatropium
Theophylline 
Magnesium
Anaesthetist
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4
Q

Lung Cancer

A

Surgery
Radiotherapy
Chemotherapy

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5
Q

Lung Cancer- small cell carcinoma

A

Chemotherapy

Supportive of poor prognosis

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6
Q

Lung Cancer- non-small cell

A

Surgical excision

Radiotherapy

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7
Q

TB

A

4 for 2, 2 for 4

RIPE 
Rifampicin
Isoniazid
Pyrazinamide
Ethambutol

RI
Rifampicin
Isoniazid

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8
Q

Acute Sarcoidosis

A

Rest with NSAIDS

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9
Q

Chronic Sarcoidosis

A

Immunosuppression (Methotrexate)

Corticosteroids (Prednisolone)

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10
Q

Acute Respiratory Disease Syndrome

A

Resuscitation with oxygen

Treat underlying cause

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11
Q

Neonatal distress syndrome

A

Surfactant
Oxygen

Expectant mothers are usually given steroids to prevent this situation

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12
Q

Tension pneumothorax

A

Chest drain

Needle aspiration in 2nd intercostal space, midclavicular line

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13
Q

Traumatic pneumothorax

A

In mild cases- observe and consider chest drain

In severe cases- immediate chest drain

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14
Q

Primary pneumothorax (spontaneous)

A

If small- observe
If medium- aspiration
If complete- aspiration and/or chest drain

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15
Q

Secondary pneumothorax

A

Secondary to respiratory disease so always requires a chest drain

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16
Q

Mild CAP

CURB65= 0-2

A

Amoxicillin

Penicillin allergic: Doxycycline

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17
Q

Severe CAP

CURB65= >2

A

Co-amoxiclav + Doxycycline

Penicillin allergic: Levofloxacin

18
Q

Non- Severe HAP

A

Amoxicillin + Metronidazole

Penicillin allergic: Co-trimoxazole + metronidazole

19
Q

Severe HAP

A

Amoxicillin + Metronidazole + Gentamicin

Penicillin allergic: Co-trimoxazole + Metronidazole + Gentamicin

20
Q

Lung Abscess

A

Antibiotics based on sputum culture results

21
Q

Pertussis (whooping cough)

A

Clarithromycin or Erythromycin

Vaccination

22
Q

Small PE

A

Low molecular weight Heparin

23
Q

Large PE

A

Thrombolysis

24
Q

Obstructive Sleep Apnoea

A

CPAP Machine
Reduce weight
Reduce alcohol consumption

25
Q

Central Sleep Apnoea

A

Respiratory Stimulant
NIPPV (Non-Invasive Positive Pressure Ventilation)
Treat underlying cause

26
Q

Mesothelioma

A

Chemotherapy
Survival at 2 yeas is extremely low
Poor prognosis

27
Q

Pulmonary Fibrosis

A

Supportive

E.g. Oxygen therapy and pulmonary rehabilitation

28
Q

Extrinsic Allergic Alveolitis
(Bird Fancier’s Lung)
(Farmer’s Lung)

A

Oxygen
Prednisolone (oral)
Avoidance of allergen

29
Q

Epiglottis

A

Oxygen (intubation)
IV fluids
Antibiotics (Ceftriaxone)

30
Q

Empyema

A

Pleural fluid drainage
IV broad spectrum, antibiotics
Oral culture-specific

31
Q

Cystic Fibrosis

A

Physiotherapy and postural drainage
Early Antibiotics for chest infection (strong and long)
Salbutamol- reliever
Beclometasone- reduce inflammation
Supplements- pancreatic enzymes, vitamins, high-calorie diet

32
Q

Laryngotracheobronchitis (Croup)

A

Prednisolone

33
Q

Coryza (common cold)

A

Supportive/Bed Rest

34
Q

Cor Pulmonale (right-sided heart disease)

A

Treat underlying cause- secondary to lung disease

35
Q

Acute COPD

A

iSOAP

Ipratropium bromide (Neb) 
Salbutamol (Neb)
Oxygen 
Amoxicillin (2nd line-Doxycycline)
Prednisolone ( Oral)
36
Q

Chronic COPD

A

Step 1: SAMA (Ipratropium)
Step 2: LAMA (Tiotripium)
Step 3: LABA (Salmeterol) + inhaled corticosteroid (Beclometasone)

37
Q

Pneumoconiosis (inhalation of dust)

A

Removal of exposure

38
Q

Bronchiolotis

A

Supportive

39
Q

Bronchiectasis

A

There is no cure

Symptomatic relief- postural drainage of affected lobe and antibiotics

40
Q

Chronic Asthma

A

Step 1: SABA (salbutamol) + low dose Inhaled corticosteroid (beclometasone)
Step 2: LABA (salmeterol) + medium dose ICS
Step 3: Leukotriene receptor agonist (montelukast) orally
Step 4: Steroids (Prednisolone) orally

41
Q

Asbestosis

A

No treatment
Symptomatic relief
Monitor for mesothelioma