Day 6 - Pulm2 COPD, CA, Interstitial Flashcards Preview

Step 2 DIT Rapid Review > Day 6 - Pulm2 COPD, CA, Interstitial > Flashcards

Flashcards in Day 6 - Pulm2 COPD, CA, Interstitial Deck (7):
1

Asthma define & tx: Mild intermittent

Mild intermittent ( 80%) - Albuterol as needed

2

Asthma define & tx: Mild persistent

Mild persistent (3-6 daytime episodes per wk but not daily or >= 3-4 episodes per mo., FEV1 > 80%) - Low-dose inhaled steroid (in addition to albuterol as needed; may also use montelukast = Singulair)

3

Asthma define & tx: Moderate persistent

Moderate persistent (daily sx, FEV1 60-80%) - Moderate -dose inhaled steroid (in addition to albuterol as needed; may also add montelukast = Singulair or beta-2 agonist; theophylline may be used if combos not working)

4

Asthma define & tx: Severe persistent

Severe persistent (continuous daytime sx or frequent nighttime episodes, FEV1

5

Stages of COPD & tx

0: Normal spirometry in smokers and those with sx (risk factor reduction, annual influenza vaccine); 1 (mild): FEV1/FVC 80% (as needed bronchodilator, like albuterol or tiotropium=atrovent); 2 (moderate): FEV1/FVC

6

Etiologies of bronchiectasis

Unknown (50%), CF, immunodeficiencies, ciliary dyskinesia (Kartagener's syndrome - dextrocardia, sinusitis, brochiectasis), ADPKD, pulmonary infx, obstruction; Less common: ABPA, sjogren's, cigarette smoking, RA

7

Dx idiopathic pulmonary fibrosis

CXR - reticulonodular or honeycomb pattern; High resolution CT scan (to r/o if suspected); Serum markers - SPA, SPB, MCP1, KL6; PFTs - Restrictive disease w/ decreased total lung capacity, FRC & residual volumes; Lung bx for definitive dx

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