Pulmonology Flashcards
Definition: Normal Lung consolidation
Clear Auscultation
Resonance with percussion
Upper airway clear with coughing
Bacterial acute bronchitis differs from other sources
Symptoms persist > 1 week, Fever or a smoker
Treatment for Atbx for Bacterial Bronchitis
Macrolide, Doxycycline, Bactrim
Asthma Red Flags
Resp. Distress, Difficulty speaking in sentences, Diaphoresis, Accessory muscle, RR> 28, Pulse > 110, Hyperressonance, Cough, Chest tightness, Pulses paradoxus > 12 mm Hg
Which white blood cell type would be elevated with Asthma?
Eosinophils
Hospitalization is recommended for these two specific results for PFT
Forced Expiratory Volume 1 does not improve after bronchodilator
Peak flow < 60 liters/minute or no improvement after treatment
Define: Chronic Bronchitis and how does it differ from acute
Excessive secretion of bronchial mucus manifested by cough for three months or more in two consecutive years; > 35 yrs
Define Emphysema
Permanent enlargement of alveoli > 50 yrs
What effects does tiotropium bromide for COPD
Bronchodilation, Thin mucus
What is low severity ATBX treatment for CAP
No Comorbidities <3 months; Amoxicillin, Doxycycline, Macrolide (Azithromycin, Clarithromycin)
What is a moderate to severe ATBX treatment for CAP
Comorbidities or Resistant organism; (Augmentin or Cephalosporin) + (Macrolide or Doxycycline)
Monotherapy Fluoroquinolone (Levofloxacin or Moxifloxacin)
Tuberculosis Regimen
Rifampin, Isoniazid, Pyrazinamide, Ethambutol
Perform tests prior to treatment of tuberculosis; How long to treat HIV patient
Liver function, CBC, Creatine baseline; Visual acuity with ethambutol
Which bacteria is responsible for Pertussis? Dx necessary
Bordetella Pertussis; PCR, Culture
Treatment for pertussis differs from another cough
Treatment first three weeks (Azithromycin, Clarithromycin, or erythromycin)
Do not use cough medication
Provide plenty fluids and frequent meals (Dehydration and Vomiting)