Respiratory Flashcards
Waiting period after using antihistamine
at least 12 hours prior to operating vehicle
Allergic rhinitis max certification
2 years
When not to certify allergic rhinitis
- severe conjunctivitis affecting vision
- inability to keep eyes open
- photophobia
- controllable sneezing fits
- sinusitis with severe HA
- medications that cause other side effects
Life-threatening allergy max certification
2 years
Waiting period for life-threatening allergies
must have successful preventative measures
-treatment without adverse effects
What must drivers with severe allergies always carry
epi-pen
asthma max certification
2 years
What test to conduct if asthmatic is symptomatic at presentation
PFT
if FEV1 <65% need ABG
Max certification for hypersensitivity pneumonitis
2 years
What test used to monitor hypersensitivity pneumonitis
CXR
Max certification for common cold, flu, acute bronchitis
2 years
max certification for atypical TB
2 years
When should atypical TB be certified
if disease is stable with normal lung function
What test to do if you suspect atypical TB has progressed
PFT
Waiting period for pulmonary TB
do not certify until driver not contagious
max certification for pulmonary TB
2 years
Certification requirement for pulmonary TB
- not contagious
- completed streptomycin therapy without hearing/balance loss
- compliant with antitubercular therapy
- no side effects that interfere with driving
What CN can be affected by streptomycin therapy
8
leads to damage in balance and/or hearing
A positive PPD and negative CXR requires what
nothing
max certification for chest wall deformities
2 years
when not to certify driver with chest wall deformity
hypoxemia at rest
chronic respiratory failure
history of continued cough with cough symptoms
Oxygen therapy is DQ T/F
true
Max certification for COPD
2 years
Max certification cystic fibrosis
2 years
What test is required for any pulmonary disease or pulmonary symptoms
spirometry
FEV1 >65%, if not need ABG
What test must be done to confirm resolution of traumatic pneumothorax
CXR
Max certification for pneumothorax
2 year
When not to certify spontaneous pneumothorax
history of 2 or more spontaneous on one side if no successful surgical procedure has been done to prevent recurrence
What is a passing screening pulse ox
> 92%
What ABG measurements are considered as passing
PaO2 > 65 at <5000 ft
PaO2 > 60 at >5000 ft
PaCO2 <45 at any altitude
max certification cor pulmonale
2 years
Max certification pulmonary HTN
1 year
Criteria for moderate to severe obstructive sleep apnea
apnea-hypopnea index (AHI) >15
