Respiratory Flashcards
eligibility for thrombolysis in PE?
right heart strain
haemodynamic instability
type 1 resp failure on ABG?
Hypoxia and nomral paCO2
interpretateion of CURB65
0 or 1 - manage at home with ABs
2 - hospital as non-severe CAP
3 or more - hospital as severe CAP
most common causes of CAP in UK?
Strep Pneumonia
Haem Influenzae
most common HAP in UK?
Staph Aureus
Legionella
pseudomonas aeruginosa (ventilation associated)
antibiotics for severe pneumonia?
Co-amoxiclav (levoflaxacin) + doxycycline
initial management of vena cava obstruction?
Dexamethasone
managment of sarcoidosis involves what drug?
corticosteroids
gram negative asscoiated with COPD?
haem influenzae
carcinoid syndrome symptoms?
facial flushing, diarrhoea and asthma
Investigation = urinary 5-HIAA excretion
one pack year =
20 cigarettes per day for a year
how might a COPD person lose apex beat?
Emphysema causing hyper expanded chest
features of severe asthma?
<92% 33-50% RR >30 HR >125 can't feed or talk audible wheeze accessory muscles
atypical pneumonia CXR?
patchy consolidation often bilateral
useful invx for bronchiectasis and interstitial lung disease?
High Res CT
how is pleural tap done and how do we determine the fluid?
under US guidance
Exudative = protein >30g/L Transudate = <30g/L
drugs whihc can trigger asthma?
NSAIDs
Beta blockers
which atypical causes desaturation on exertion?
pneumocystis pneumonia (treat co-trimoxazole)
immunosuppressed
pneumonia associated with herpes labialis?
strep pneumonia
left shift oxyhaemoglobin dissociation curve?
LESS oxygen delivery
low H+ (high Ph)
Low PCO2
Low 2,3 DPG
Low Temp
pleural effusion on CXR?
blunting of costophrenic angle
Asthma Diagnosis?
Obstructive spirometry (FEV1/FVC - <70%)
> 20% diurnal PEFR variability
15% improvement PEFR after SABA/ICS
Increased lung volumes
in acute asthma when should we have ITU input?
Hypoxic and CO2 raising
Get Ventilated!
Asthma Managment
SABA \+ low ICS \+ LABA \+ LTRA OR medium ICS refer to specialist
