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Flashcards in pulmology Deck (172)
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1

asthma is what type of disease

immunological (hyper-responsiveness to IgE that has been released from trigger)

2

asthma is what type of disease

immunological (hyper-responsiveness to IgE that has been released from trigger)

3

ABG with SEVERE asthma attack

respiratory low Pa02, respiratory acidosis

4

tests to asthma

FEVI, Peak Flow, lungs and symptoms reversible with bronchodilator

5

X-ray asthma attack, what if no attack?

big lung and flatten diagram, no attack it will be normal

6

asthma has what % FEVI/FVC

7

ABG with severe asthma attack

respiratory low Pa02

8

tests to asthma

Peak Flow, lungs

9

X-ray asthma attack, what if no attack?

big lung and flatten diagram, no attack it will be normal

10

the triad involving asthma

The triad: atopy, nasal polyps, NSAID allergy

11

acute tx for asthma

O2, Beta-agonists (inhaled albuterol) sc terbutaline,
IV epinephrine
can be added: inhaled ipratropium, Corticosteroids (po/IV)
Magnesium and BiPAP (non-invasive mechanical ventilation)

12

chronic tx for asthma

Mast cell stabilizers (cromolyn)
Leukotriene inhibitors (montelukast or zileuton
Long acting β2-agonists (salmeterol)

13

asthma symptoms everyday, every night

severe persistant asthma

14

intermittent asthma and tx

almost no symptoms, > 2 days a week, most likely only need albuterol

15

mild asthma tx

use albuterol + low dose inhaled steroids

16

moderate asthma tx

Short acting and LONG acting beta agonist and inhaled steroid

17

what if patient is already on short and long acting beta agonist, and inhaled steroid but having break through therapy?

increase inhaled steroid dose or for severe add oral steroids + immune suppressive agent Omalizumab (causes anaphylaxis) works by binding IgE.

18

majority of PE are caused by_____from where in the body_______

Emboli from the Lower extremities

19

hampton's hump and westermark on xray

HH: white lesion 1/2 circle attached to pleura, PE

20

EKG findings of PE

non-specific ST changes, tachycardia

21

what is Aa gradient

report card of how well body takes air from environment and shuttles it through alveoli to blood stream

22

the right heart is working hard with a PE, what are the EKG findings specific to this

S1Q3T3.
big wave p wave (p pulmonale).
Inverted Ts V1-V4.

23

you suspect PE, but d dimer is positive, what test is done next? (remember pt will be short of breath)

CT pulmonary angiogram and then VQscan (ventilation and perfussion scan)......US of chest will show a huge right ventricle

24

treatment for PE

HEPARIN, fibrinolysis (only in BAD cases) , mechanical thrombectomy, and IVC filter

25

signs of pulmonary HTN (right sided heart problem)

right ventricle heaving and prominent P2

26

what causes pulmonary HTN?

COPD and chronic PEs

27

tx for pulmonary HTN?

1. O2
2. vasodilator (sildenafil)
3. chronic anticoagulant
4. transplant

28

worst lung cancer

small cell

29

most common lung cancer

adenocarinoma (50% non-smokers)

30

where does small cell metastasize to

Iiver, bone, brain, adrenal