Respiratory Flashcards
CURB 65
confusion: AMT <8
urea >7mmol/L
RR >30
BP <90 systolic or <60 diastolic
0-1: discharge with or without Ax
2: admit to medical/resp ward and treat
3: consider ITU management
CURB score and management
conservatively –> O2 (target 96-98%), fluids, antipyretic (paracetamol)
medically (Ax)
CURB1 –> amoxicillin PO 5 days (doxycycline in pen allergy)
CURB2 –> amoxicillin and doxycycline
CURB3 –> co-amoxiclav and doxycycline
which lung cancer is associated with gynaecomastia?
adenocarcinoma
what interventions are proven to improve life expectancy in COPD?
smoking cessation and long term oxygen therapy
what surgery may improve late stage COPD and end stage alpha-1 antitrypsin deficiency?
lung volume reduction surgery
what is seen on a CXR when someone has lingula consolidation
loss of heart border
what are the main indications for surgery in bronchiectasis?
localised disease
or
uncontrollable haemoptysis
DDx for reccurent pulmonary haemorrhage in a young person?
Idiopathic pulmonary haemosiderosis Features: recurrent pulmonary haemorrhage cough pallor
indications for long term oxygen therapy in COPD pts?
pO2 of < 7.3 kPa or to those with a pO2 of 7.3 - 8 kPa and one of the following: secondary polycythaemia nocturnal hypoxaemia peripheral oedema pulmonary hypertension
3 common causes of lobar collapse
lung cancer
asthma (due to mucous plugging)
foreign body
what lung cancer can cause hyponatremia?
small cell as SIADH is a paraneoplastic feature which causes low sodium
at what pH will a pt with COPD benefit from NIV?
The evidence surrounding the use of NIV in COPD shows that patients with a pH in the range of 7.25-7.35 achieve the most benefit. If the pH is < 7.25 then invasive ventilation should be considered if appropriate
