PULM Flashcards
1
Q
For what conditions would you consider measuring ABGs?
A
- COPD
- HF
- DM
- drug OD
2
Q
What are the normal pH, CO2 and HCO3 levels for blood in ABG testing?
A
- pH: 7.35-7.45
- CO2: 35-45
- HCO3: 22-26
3
Q
What pH, CO2 and HCO3 levels for blood in ABG testing indicate acidosis?
A
- pH: less than 7.35
- CO2: >45
- HCO3: less than 22
4
Q
What pH, CO2 and HCO3 levels for blood in ABG testing indicate alkalosis?
A
- pH: >7.45
- CO2: less than 35
- HCO3: >26
5
Q
Signs & Sxs:
- Productive cough
- Pleuritic chest pain
- Hemoptysis
- Fever/chills/night sweats
- Malaise, weight loss
- Painless adenopathy
A
TB
6
Q
Signs & Sxs:
- Cough, sputum production
- Dyspnea, wheezing
- Hemoptysis
- Frequent infxs
- AM headache
- Pedal edema, weight loss
A
COPD
7
Q
Signs & Sxs:
- Normal vitals
- Decreased breath sounds
- Decreased tactile fremitus
- Localized pleural friction rub
- Mediastinal shift if massive
A
Pleural effusion
8
Q
Signs & Sxs:
- Dyspnea, pleuritic chest pain
- HoTN, tachyardia, S3 gallop
- Cough, hemoptysis
- Anxiety and apprehension
- Acute cor pulmonale
- Distended neck veins
A
Pulmonary embolism
9
Q
Signs & Sxs:
- Dyspnea, orthopnea, PND, DOE, tachypnea
- Cough, pink/frothy sputum
- Diaphoresis, fatigability
- Bibasilar rales, wehezing
- Hypoxemia
- Signs of fluid overload
- Elevated JVP, S3
A
Pulmonary edema
10
Q
Signs & Sxs:
- Productive cough, may last several weeks
- Sputum
- Smokers have prolonged cough
- Rales, rhonchi, wheezing
- Injected pharynx
- Fever, tachypnea
A
Acute bronchitis
11
Q
Signs & Sxs:
- Cough
- Wheezing, prolonged expiration
- Chest tightness, tachycardia
- Rhonchi lung sounds
- Use of accessory muscles (SCM, scalenes of neck)
A
Asthma
12
Q
Signs & Sxs:
- Cough, dyspnea, thick sputum, tachypnea
- Fever, chills
- Chest pain
- Cyanosis
- Consolidation
A
Community acquired pneumonia
13
Q
What type of pneumonia:
- walking
- non-productive cough
- fever
- slow course
- young
A
Mycoplasma pneumo
14
Q
What type of pneumonia:
- rust colored sputum
- rapid fever onset
- CXR shows lobar consolidation
A
Strep pneumo
15
Q
What type of pneumonia:
- pleuritic chest pain
- hemoptysis
- hyponatremia
A
Legionella pneumo