Resp Flashcards
(33 cards)
Exam pneumonia
Resp distress
End inspiratory crackles
Dull to percussion
Dx pneumonia
CXR- effusion- empyema
Nasopharyngeal aspirate
FBC
acute phase reactants
Tx pneumonia
Amoxicillin
Amoxicillin or erythromycin > 5 years old
Causes pneumonia neonate
GBS
GN enterococci
Causes pneumonia infants
RSV strep pneumo Haemophilus Bordetella Chlamydia Staph aureus
Causes pneumonia kid > 5 years old
Mycoplasma
Strep pneumo
Chlamydia
PC Asthma
Triad 1. Cough 2. Wheeze 3. SOB chest tightness
Worse
- night and early morning
- triggers
Eczema
Allergies
Rhinitis
PC life threatening asthma
Cyanosis
Lethargy
Drowsy
SILENT CHEST
Dx asthma
Clinical
Skin prick allergens
CXR= normal (exclusion)
PEFR
Tx intermittent asthma
SABA
Mild persistent asthma
Low dose ICS or (from, LTBA)
Moderate persistent asthma
LABA
Or medium dose ICS
Moderate to severe asthma
Medium ICS and LTRA
Severe persistent asthma
High dose ICS and LTRA
and omalizumab
Moderate asthma attack
SABA - 2-4 puffs
? Oral prednisolone
Fu 1 hour
Severe asthma attack
SABA neb or 10 puffs
Oral prednisolone OR IV hydrocortisone
Maybe ipratropium neb
Life threatening asthma attack
SABA neb
IV hydrocortisone
Ipratropium neb
Still not responding asthma
HDU PICU
CXR and blood gases
IV sal or theo
IV magnesium sulfate
Responding asthma attack
Continue bronchodilators 1-4 hours
Discharge when stable on 4 hours of therapy
Continue prednisone for 3 days
PC neonate CF
Meconium ileus Recurrent respiratory tract infections Malabs/ steatorrhea FTT Prolonged jaundice
PC kid CF
Bronchiectasis
Nasal polyps
Sinusitis
Rectal prolapse
PC older kid CF
CBAVD
DM
DIOS
ABPA
cirrhosis
Pneumothorax or recurrent haemoptysis
Dx CF
Sweat test
> 60 ( 80
Genetic test
ABG: hypochloraemic alkalosis
IRT screen
XR abdo: MEC ileus: air bubbles around the meconium (gastrografin)
Tx CF
Physio Bronchodilators Antibiotics Steroids DNAase and hypertonic saline
Creon
ADEK
nutrition
Lung or pancreas transplant
Ursofalk
Gastrograffin- DIOS
intra cytoplasmic sperm injection
Psychological
