respirology Flashcards
1
Q
DDx for wheeze 4 common and a few uncommon
A
common 1. asthma 2. bronciolitis 3. PNA - fever cough malaise 4. GERD uncommon 1. CF - prolonged and unresponsive 2. foreign body - sudden onset 3. mass 4. CHF - FTT 5. tracheobronchial abnormalities
2
Q
def. of asthma
A
airway hyperactivity, bronchospasm, inflammation, and reversible airway obst
3
Q
crit. for determining if well controlled
A
90 of personal best
PEF variations of
4
Q
important asthma Hx
A
- severity of episode
- might Sx
- eposures
- hospital and ICU admissions
- fam Hx
5
Q
invest. for asthmas
A
- pulse oximetry
- consider ABG if increasing O2 required
- CXR if first time or atypical
- 6 can do spirometry
6
Q
spirometry def of asthma
A
FEV/FVC
7
Q
mgmt of asthma
A
- humid O2 if
8
Q
when to hosp. for asthma
A
absolute
- requires O2
9
Q
DC instructions for asthma
A
- B2 agon q4h, 1-2 days
- dex to complete course
- inhaled cort. for at least 3 weeks or seaon
- educations
- reassess in 24-48 hrs
10
Q
def. of bronchiolitis
A
self limiting seasonal viral infection of lower tract in child
11
Q
Hx of bronchilitis
A
- prodrome of coryza, worsening cough
- low oral intake
- irritable
- resp distress
12
Q
invest for bronchioitis
A
- Hx and Phx
- pulse ox
- NP for viral swabs if in hosp
- blood work and CXR NOT necc.
13
Q
mgmt of bronciolitis
A
- O2 if sats
14
Q
when to hosp. for bronchiolitis
A
absoute - O2 requirements - dehydration evident - Hx of apnea relative - young
15
Q
def, of CF
A
- auto reccessive
- mutation of gene causes abnormal Cl - thick secretions
- changes to epithelium of airway, panc ducts, biliary tree, vas def. and sweat glands
