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Sp: Coexisting I > 2. Respiratory Restrictive > Flashcards

2. Respiratory Restrictive Flashcards

1
Q

restrictive lung disease

A

inability to increase lung volume

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2
Q

restrictive lung disease causes

A

decr lung expansion
decr lung compliance

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3
Q

mild RLD

A

65-80%

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4
Q

mod RLD

A

50-65%

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5
Q

sev RLD

A

< 50%

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6
Q

RLD DLCO

A

reduced DLCO

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7
Q

do you need to change induction or mx drugs for RLD

A

no

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8
Q

regional anesthesia for RLD

A

good choice
avoid sensory/motor T10 block

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9
Q

acute intrinsic

A

pulm edema
ARDS

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10
Q
A

pulm edema

batwing

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11
Q
A

normal

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12
Q

which xray shows a batwing

A

pulm edema

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13
Q
A

atelectasis due to right mainstem

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14
Q
A

atelectasis with tracheal deviation and mainstem

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15
Q
A

pneumothorax

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16
Q
A

pneumonia

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17
Q

pulm edema goal

A

optimize cardiorespiratory function

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18
Q

pule edema respiration

A

mechanical vent with PEEP
RR 14-18
PIP < 30 cmH2O

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19
Q

ARDS

A

inflammatory injury to lung that results in acute respiratory failure

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20
Q

Berlin definition of ARDS

A

oxygenation
timing
imaging

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21
Q

mild oxygenation

A

200 < PaO2/FiO2

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22
Q

mod oxygenation

A

100 < PaO2/FiO2

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23
Q

severe oxygenation

A

PaO2/FiO2

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24
Q

how is oxygenation calculated

A

with CPAP or PEEP of at least 5 cm H2O

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25
ARDS timing of onset
within 7 days of known clinical insult
26
ARDS imaging results
bilateral opacities not explained by other cuases
27
ARDS management
fix the cuase
28
ARDS TV management
4-6mL/kg (lower is more protective) minimize FiO2
29
chronic intrinsic RLD
pulm fibrosis sacroidoiss pneumonia bronchopulmonary dysplasia
30
sarcoidosis
systemic granulomatous disease can cause endobronchial and endotracheal granulomas (fibrosis of lungs and larynx)
31
IRLD have ____ FRC
small FRC
32
IRLD anesthetic uptake
faster bc lower FRC
33
how do you reduce barotrauma
decr PIP
34
extrinsic lung disease
disorder of thoracic cage interfereing with lung expansion
35
ELD conditions
ankylosing spondylitits flail chest scoliosis kyphosis
36
kyphosis
anterior flexion
37
lordosis
posterior flexion
38
ankylosing spondylossi
vertebral body fusion kyphotic spine
39
kyphoscoliosis causes
>70 degrees: incr risk of resp dysfunction > 100 deg: severe
40
flail chest
multiple rib fractures (3+) causing paradoxical chest wall movement
41
flail chest compliance
decr
42
flail chest TV and FRC
decr TV decr FRC
43
flail chest work of breathing
incr
44
pleural effusion
accumulation of fluid in pleural space
45
pleural effusion diagnosis
xray or CT
46
hemothorax
blood
47
chylothorax
lymph
48
empyema
pus
49
hydrothorax
serous liquid
50
pleural effusion treatment
thoracentesis
51
pleural effusion xray
52
pleural effusion CT
53
pneumothroax
air in pleural space
54
2 causes of pnuemo
spontaneous - no known lung pathology secondary - know lung pathology
55
tension pneumo
air enters during inspiration but cant escape during expiration incr pressure in pleural space
56
pnuemothorax
57
what indicates tension pneumo in awake pt
resp distress incr RR sob hypoxia tachycardia hyptension decr breath sounds on one side
58
indications of tension pneumo in mech vent patient
incr PIP decr TV on Pressure control
59
tension pneumo treatment
needle decompression chest tube 100% FiO2
60
mediastinal mass complications
CV collapse airway collapse
61
mediastinal mass can compress
trachea brochus SVC
62
what position should you induce pt in for mediastinal mass
sitting position
63
airway managment for media stinal mass
awake fiberoptic or rigid bronchoscope
64
spinal cord injury below C4
impaired cough loss of abdomial tone = loss of diaphragm efficiency
65
obesity causes
decr FEV1 decr FVC decr FRC decr ERV
66
when if FRC less than closing capacity
BMI > 40
67
what corresponds to respiratory compromised
waist to hip ratio

Sp: Coexisting I (11 decks)

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