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Flashcards in Pulm l Deck (44)
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1

FEV1 / FVC
if high, think
if low, think

high, restrictive (hard to get air in)
low, obstructive (hard to get air out)

2

% PPV
if higher think
if lower think

normal is obstructive
lower, restrictive

3

silhouette sign - see with

pneumonia

4

TB primary infx XRAY
secondary infx XRAY

primary - upper lobes, pleural effusion, hilar nodes
secondary - small calcifications in LU & nodes, or NORMAL

5

Non-sedating antihist vs sedating
(does not cross BBB vs does)

non-sedating - allegra (fexofenadine), claritin (loratadine, desloratadine) - H-1 antag
sedating - diphenhydramine (benadryl), chlorpheniramine - H-1 R antag; CI CNS depression, MAO-I

6

Emergency Bronchodilator

Atropine, then EPI

7

alpha-1 agonists for nasal congestion
1. oxymetazoline
2. phenylephrine hydrochloride
3. pseudoephedrine
CI?

CI - severe HTN, MAO-I
ADR's: anaphalyxis, asthma, HA,

8

Glucocorticoids end in ?
ADR's
fxn for asthma?

-sone, -zone, -onide
ADRS: water retention, CV probs, osteoprosis, peptic ulcers
used in conjunction w bronchodilators for LU
BLOCKS PHOSPHOLIPASE A2 in membrane blocking production of arachondic acid

9

if atropine is used as an emergency bronchodilator, what Rx use atropine as an anticholinergic bronchodilator?

IPRATROPIUM BROMIDE
TIOTROPIUM BROMIDE
(parasympatholytic)
does not tx acute asthma

10

types of rescue inhalers

epi, ALBUT

11

what is mometasone?

inhaled corticosteroid powder for asthma

12

what is salmeterol?

serevent dikus
B2 agonist
BB warning!!! increase risk of asthma related death
long acting

13

montelukast pharm

leukotriene R antag

14

dextromethorphan fxn

robitussin
central acting
antitussive

15

how long after chronic cough should you xray?

> 8 weeks

16

viral resp infx
sharp pain worse w deep breath or cough
friction rub "leathery sound

pleurisy

17

pneumonia vs effusion
hear increased or decreased sounds?

pneumo decreased
effusion increased

18

bronchiolitis
xray?
eti?
what to know

viral
hyperinflation, peri-bronchial infiltrate
deadly in children and elderly

19

Pneumonia in alcoholics get which kind?

klebsiella consildated

20

pneumonia in diabetics get which kind?

e coli consolidated

21

atypical pneumonia is seen as what on xray? caused by what?

BL DIFFUSE INFILTRATE
mycoplasma, chlamydia, viral

22

Hospital Acq Pneumonia appears how long after admission?
what kind of bug?

about 3 days
gram neg is about half of em
strep is MC community acq

23

smelly rusty sputum

LU abscess
tx like lobar pneumonia

24

Aspergillosis on xray

solitary lesion 3-5mm in diameter
found in dirt

25

Cryptococcla Pneumonia
Rx
Dx
Xray
complications

yeast
pigeon poo
MENINGITIS so much R/O
XRAY - solitary nodule
DX biopsy and culture
Rx amphotericin

26

Histoplasmosis
xray
dx

atypical presentation - patchy infiltrates, hilar adenopathy; cavitations, fibrosis
flu-like sxs
sputum culture or biopsy

27

flu-like sxs
hemoptysis
dry cough
mississippi, SE US, africa

Blastomycosis pneumonia

28

Valley Fever
xray

coccidioidomycosis
can be bad!
* no hemoptysis
RASH, fever, erythema nodosum
XRAY - non specific infiltrate hilar adenopathy

29

flu-like, rash, erythema nodosum, no hemoptysis

coccidiodomycosis "valley fever"

30

MC secondary to EMPHYSEMA
genetic cause of emphysema

reactive polycythemia
alpha 1 anti trypsin xu
normal pCO2