FM Case Files 1-5 Flashcards
An intervention designed to prevent a disease before it occurs
Primary Prevention
An intervention intended to reduce the recurrence or exacerbation of a disease
Secondary Prevention
Pulmonary difficiency that presents earlier in life:
- May or may not be associated with smoking
- Episodic exacerbations w/ return to normal baseline
Asthma
Pulmonary insufficiency that tends to present in midlife or later, is usually the ruslt of a long history of smoking and
is a slowly progressive disorder.
An airway obstruction that is not fully reversible, usually progressive, and is a/w Chronic bronchitis,
Emphysema, or Both
COPD
Cough and Sputum production on most days for at least 3 months during at least 2 consecutive years
Chronic Bronchitis
Shortness of breath caused by the Enlargement of
Respiratory Bronchioles and Alveoli caused by
Destruction of Lung Tissue
Emphysema
Pathologic changes
- Mucous gland hypertrophy w/ hypersecretion
- Ciliary dysfunction
- Destruction of Lung parenchyma
- Airway remodeling
Pathologic changes of COPD
A disease of INflammation of the airways, lung tissue, and vasculature.
COPD reversibility is defined as an increase in
FEV1 of greater than _____% or ______ mL.
COPD reversibility is defined as an increase in
FEV1 of greater than _12_% or _200_ mL.
COPD: FEV1 / FEV < 0.70
Management of Stage I COPD
Management of Stage I COPD
- β2-agonists (Albuterol)
- Anticholinergics (Ipratropium)
Management of Stage II COPD
Management of Stage II COPD
- long-acting β2-agonists (Salmeterol)
- Anticholinergics (Tiotropium)
- Oral Methylxanthines (Aminophylline, Theophylline)
Management of Stage III and IV COPD
Management of Stage III and IV COPD
- Inhaled Steroids
- Fluticasone
- Triamcinolone
- Mometasone
- Stage IV - long term oxygen therapy
- Only therapy shown to decrease mortality
- At least 15 h/d
For patients who develop COPD at a young age;
consider?
α1-Antitrypsin deficiency
Most Gout attacks occur between:
- ___ and ___ years in men
- ___ and ___ years in women
Most Gout attacks occur between:
- _30_ and _50_ years in men
- _50_ and _70_ years in women
These types of diuretics may induce Hyperuricemia
and cause Gouty attacks
Thiazide diuretics
Characteristics of Monosodium Urate Crystals
(MSU Crystals)
- Needle like appearance
- Strong Negative Birefringence
