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Flashcards in Pulm 1 Deck (23):
1

indication for corticosteroid use

PaO2 less than 70
A-a gradient greater than 35

2

see solitary pulmonary nodule, but have no previous CXR for comparison. next step?

CT scan

3

diagnosis of fat embolism

fat droplets in urine
intra arterial fat globules on fundoscopy

4

hear louder expiratory sounds

consolidation of lung

5

physical exam with consolidation

dullness to percussion (b/c only air makes hyper resonant)
bronchial breath sounds
egophony

6

MCCs of hemothorax

traumatic laceration of lung parenchyma
damage to intercostal or internal mammary artery

7

pneumonia with multiple thin walled cavities / abscesses

staph

8

max tidal volume

6 ml/kg

9

max PEEP

about 15 in ARDS

10

indications for long term oxygen therapy

PaO2 less than or equal to 55 mmHg or SaO2 less than or equal to 88% RA
or 59 and 89 in people with cor pulmonale, right heart failure, or Hct greater than 55

11

workup of recurrent pneumonias in same location

chest CT

12

management of new solitary pulmonary nodule

get CT first

13

cough and mucopurulent sputum
- dx
- next step

bronchiectasis
CT

14

what prolongs survival in COPD patients

smoking cessation
supplemental oxygen
lung reduction surgery

15

high likelihood of PE and no CI to anticoag

start heparin

16

risk assessment for pneumonia

CURB-65
Confusion
Uremia BUN greater than 20
Respirations greater than 30
BP less than 90/60
Age greater than 65

2 = inpatient
4+ = ICU

17

hospital ATBs for pneumonia

fluoroquinolone
OR beta lactam plus macrolide

18

outpaitnet tx for pneumonia

doxycycline or macrolide

19

FiO2 in vent setting should be below

60%

20

ARDS PaO2/FiO2 is

less than 300

21

complication of bronchiectasis

hemoptysis

22

management of empyema

prolonged ATBs 2-4 weeks
drainage with chest tube

23

cavity with air fluid levels

lung abscess