16.2 Chronic Suppurative Lung Paeds Flashcards
what is Chronic Suppurative lung disease?
- chronic productive cough
- usu. radiographic bronchiectasis
most common causes of paeds Chronic Suppurative lung disease?
- CF
- immune function IGG
- ciliary dyskinesia
- post-infectious
- foreign body
- toxic fumes/smoke
Chronic Suppurative lung disease pathophysiology
- impaired mucous clearance
- chronic infection
- airway damage
3 kinds of bronchiectasis
cylindrical
varicose
cystic
clinical presentation of Chronic Suppurative lung disease?
-moist productive cough
-75% coarse crackles
33%wheeze
clubbing <10%
when to investigate for Chronic Suppurative lung disease?
- 4+weeks of chronic productive cough
- responsive to Abx, relapse
- sputum culture: staph, pseudo, myco
Chronic Suppurative lung disease basic investigations?
- sweat test/CF genetics
- sputum MCS
- immune function, FBC, IGG, vaccination
- CXR
- HRCT to confrim
management of Chronic Suppurative lung disease?
- Abx
- chest physio
- nutrition/asthma mx
- regular r/v
- multi-disciplinary
Mx of bronchiectasis
Abx
- chest physio
- mucolytics - hypertonic ssaline
- bronchodilators
- immunisations
complications in adults for CF?
- bronchopulmonary sepsis
- pancreatic insufficiency
- aspermia
CF constant therapies?
mucolytics
physio
first year of life for CF, what Abx?
fluclox to prevent staph colonisation
CF, do you treat pseudomonas?
yes, try to eradicate in first few months
