Respiratory Flashcards
What is first line treatment for COPD?
STOP SMOKING YOU DICK!
SABA and SAMA
What symptoms make pulmonary embolism likely
Tachypnea (respiratory rate >16/min) - 96%
Crackles - 58%
Tachycardia (heart rate >100/min) - 44%
Fever (temperature >37.8°C) - 43%
What assessment needs to be done in primary care for patients with suspected pneumonia?
CRB65
C Confusion (abbreviated mental test score <= 8/10)
R Respiration rate >= 30/min
B Blood pressure: systolic <= 90 mmHg and/or diastolic <= 60 mmHg
65 Aged >= 65 years
What does the scoring of CRB65 mean?
home-based care for patients with a CRB65 score of 0
hospital assessment for all other patients, particularly those with a CRB65 score of 2 or more.
How are patients with suspected pneumonia assessed in secondary care setting?
CURB65
Confusion (abbreviated mental test score <= 8/10)
Urea > 7 mmol/L
Respiration rate >= 30/min
Blood pressure: systolic <= 90 mmHg and/or diastolic <= 60 mmHg
65 Aged >= 65 years
What does CURB65 scoring mean?
consider home-based care for patients with a CURB65 score of 0 or 1 - low risk (less than 3% mortality risk)
consider hospital-based care for patients with a CURB65 score of 2 or more - intermediate risk (3-15% mortality risk)
consider intensive care assessment for patients with a CURB65 score of 3 or more - high risk (more than 15% mortality risk)
What does bronchiectasis look like on x-ray?
Parallel line shadows (often called tram-lines) are common in bronchiectasis and indicate dilated bronchi due to peribronchial inflammation and fibrosis.