Respiratory Treatment Flashcards
Asthma
- SABA (salbutamol)
- inhaled corticosteroid (beclamethasone)
- +LABA (salmetrol)
- Increase steroid
- +Leukotriene receptor antagonist (montelukast)
- Theophylline
- Oral prednisolone
Acute COPD
Ipratropium bromide Salbutamol Oxygen (24%-28%) Amoxicillin Prednisolone (oral) Doxaprem Intubation
Bronchiecstasis
Postural drainage
Antibiotics according to pathogen
Idiopathic pulmonary fibrosis
Treat inflammation
1st line: systemic corticosteroids (oral prednisolone)
2nd line: Oral Azathioprine
Anti-fibrotic agents (pirfenidone, nintedanib)
Anti-oxidant agents (acetylcysteine)
O2 if hypoxaemic
Lung transplant
Extringic allergic alveolitis
Remove trigger Corticosteroid Oral azathioprine Immunosuppressants NSAIDs Monitoring
Sarcoidosis
Oral prednisolone Oral azathioprine Immunosuppresants NDAIDS Montoring
Pneumonia
- Oxygen, fluids, bed rest, no smoking
- Antibiotics
Mild/mod – Amoxicillin
Severe – Co-amoxiclav IV + Clarithromycin/doxycycline (step down to doxycycline)
HAP/aspiration
Severe: IV Amoxicillin + Metronidazole + Gentamicin (TRIPLE THERAPY)
Non-severe: Amoxicillin + Metronidazole
Legionella pneumonia
Erythromycin
Tuberculosis
2RIPE 4RI
2 months:
Rifampicin (orange urine & tears)
Isoniazid (tingling extremities, muscle weakness)
Pyrazinamide (gout)
Ethambutol (clour-blindness, vision issues)
4 months:
Rifampicin
Isoniazid
ARDS
Oxygen
Mechanical ventilation
Croup
Oral steroids
Cystic Fibrosis
Oral antibiotics Physio Bronchodilators Mucolytics Ivacaftor
Cor Pulmonale
Treat underlying cause
Diuretics (for heart failure)
Oxygen 24-28% (for pulmonary failure)
Empyema
Chest drain
Epiglottitis
ITU
Ceftriaxone
Do not intubate or use tongue depressor