Reviewer #7 Flashcards
Obstruction of blood flow in the part of the pulmonary vascular system by embolus
Pulmonary Embolism
Other term for Pulmonary Embolism
Thromboembolism
Pulmonary Embolism is classified as?
Medical Emergency
Pathognomonic sign of PE
Pleuritic chest pain
Treatment of choice for PE
Prevention
Most common non thrombonic pulmonary emboli
Fat Emboli
Small emboli may be?
Asymptomatic
Common symptoms of PE
Dyspnea and Pleuritic chest pain
Massive embolus may cause
Syncope and Cyanosis
Effective means of preventing venous stasis and reduces PE
Early Embulation
Medicine for severe pleuritic CP and anxiety
Analgesics
Pulmonary artery catheter
Swan Ganz Catheter
Confirmatory test of pulmonary embolism
Pulmonary Angiography
Blood thinner medicines used in PE
Anticoagulant (Aspirin, Heparin, and Warfarin)
Alters synthesis of vitamin K
Warfarin
Since Warfarin is toxic the antidote is?
Phytomenadione (Vit K)
Test for warfarin?
Prothrombin Time (PT) Test
Since Heparin is toxic the antidote is?
Protamine Sulfate
Test for Heparin
Partial Thromboplastin Time
Removal of an embolus
Embolectomy
Abnormal elevation of pulmonary arterial pressure
Pulmonary Hypertension
2 types of Pulmonary HTN
Primary and Secondary
Primary HTN characterized by?
Idiopathic cause
Secondary HTN is
More common
Normal arterial pressure
12 to 15
A condition where the right ventricular gets enlarged
Cor Pulmonale
Most common cause of cor pulmonale
COPD
What does CXR find in Cor Pulmonale
Right heart enlargement
Cor pulmonale finding in ABG
Hypoxemia
Cor pulmonale cbc finding
Polycythemia
Performed to reduce viscosity in the blood
Venesection
If it doesn’t respond to Calcium Channel Blockers what is used
Short acting vasodilator
Most effective long term treatment
Bilateral lung or Heart-lung transplant
Consequence of severe respiratory dysfunction
Acute Respiratory Failure
Greater than 50mmHg indicates
Respiratory Failure
Most common cause of Acute respiratory failure
COPD
Most common manifestation of ARF
Hypoxemia and Hypercapnia
Characterized by non cardiac pulmonary edema and progressive refractory hypoxemia
Acute Respiratory Distress Syndrome
ARDS cause is?
Idiopathic
Pathognomonic sign of ARDS
Refractory Hypoxemia
Position for ARDS
Prone position
Process of removing ventilator support
Weaning
Other name of ARDS
Shock lung and adult hyaline membrane disease.
Normal value of pH
7.35 to 7.45
Normal value of PCO2
35 to 45
Normal value of HCO3
22 to 26
If its Hypoventilation the acid base balance is
Respiratory Acidosis
If its Hyperventilation the acid balance is
Respiratory Alkalosis
5 Cardinal signs of inflammation
- Calor
- Rubor
- Tumour
- Dolor
- Functio Laesa
Calor means
Heat
Tumour means
Swelling
Rubor
Redness
Dolor
Pain