Airway/Resp dz SUMMARY Flashcards Preview

Q4 EM Surg > Airway/Resp dz SUMMARY > Flashcards

Flashcards in Airway/Resp dz SUMMARY Deck (15):
1

Retropharyngeal Abscess

pus in retro space
sxs (S) to epiglotitis, croup
Neck x-ray, CT
Admit for surgery, abx

2

Epiglottitis

infect of supraglott
TRIPOD posture, drool

3

Croup

inflamm of subglott
(U) paraflu
seal bark, retractions
steroids

4

Whooping Cough

EMERGENCY
b. pertussis
DPT vacc not complete
URI sxs (U) w/o fever
Parox cough, inspiratory stridor
Dx w/ swab
Pretreat exposed others

5

Bronchiolitis

RSV caused bronch obstruction from edema/mucus,
tachypnea, retrations, wheeze (no stridor/bark),
CXR, viral swab/cx
Admit most,
B2, (P) ribavirin,
NO steriods

6

Asthma

REVERSIBLE bronchospasm/mucus
Stacked SVN/bronchodial, (P) steroids, antichol
Make admit/discharge decision w/i 1 hr

7

Status Asthmaticus is?

Acute asthma attack that doesn't respond to tx

8

COPD

bronchiole collapse, mucus plugging
tx (S) to asthma

9

Emphysemia

loss of alveolar SA
tx (S) to asthma

10

PNA

infect of lungs -> inflamm fills alveoli w/ pus -> no room for air,

pleuritic chest pain

CXR, blood gas/culture, CBC, sputum C&S

abx, B2, analgesics

11

CHF/Pulmonary Edema

Sweating, tachys, rales/wheeze, JVD, hepatomeg, perph edema

tx: O2, Nitrates, B1 (inotropics), Morphine

12

Pneumothorax

Perf of lung/chest wall -> air into cavity -> lung collapse

Chest pain on collapsed side, trach deviation, (P) cough

13

Pneumothorax tx

< 20% involvement = observation, 48 hr repeat CXR

>20% = needle decomp, aspiration, chest tube

14

PE

Pulm A thrombi occlusion

(most C) dyspnea, pleuritic chest pain, cough

15

PE diagnostics

R/O MI (ECG, enz, D-dimer)
CXR
chest CT
Vent/Perfusion scan (High result w/ risk factors = start tx for PE)