respiratory/pulmonary Flashcards
What are the GOLD categories of COPD
GOLD 1: Mild, FEV1>80%
GOLD 2: Mod, FEV1 50-80%
GOLD 3: Severe, FEV1 30-50%
GOLD 4: Very Severe FEV1 less than 50%
What is first line tx for GOLD 1-2, few exacerbations?
SA anticholinergic (ipratropium/Atrovent) or SA beta agonist (albuterol/Proventil both PRN–Next choice would be LA of either class
What is first line tx for GOLD 1-2 mod number of symptoms
LA anticholinergic (tiotropium/Spririva) or LA beta agonist (salmeterol/Serevent)–Next choice would be BOTH
What is first line tx for GOLD 3-4 less symptoms?
inhaled corticosteroid (fluticasone) + LA beta agonist in combo is Advair or Symbicort
What is first line tx for GOLD 3-4 more symptoms?
Inhaled ICS +LA beta agonist, PDE-4,s (Daliresp)
What is most common pathogen in COPD flair? What are effective treatments against it?
H. Influenza. beta lactams-augmentin, cephalossorins, macrolides
What are most common atypical pathogens in community acquired pneumonia?
mycoplasma pneumoniae, legionella pneumophilia, chlamydophilia pneumoniae
What antibiotics are useful against atypical pathogens?
macrolides or doxycycline-beta lactams are NOT effective alone
With patients who have had recent abx or illness, what abx should be used in CAP?
Resp quinolones OR beta lactam + macrolide
Other than atypicals, what are common organisms in CAP? What are appropriate treatments?
Strep pneumoniae. Treat with macrolides, amoxicillin.
What are nondihydropyridine CCBs?
diltiazem
What are dihydropyridine CCBs?
amlodipine
When is a mid-systolic click heard?
MVP
What change in FEV post SABA indicates asthma?
> /= to 12%
