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resp Acc Flashcards

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1
Q

pt on 15 L NRB what should their sats be

A

98% but youve got ot take 10 from that to get the actual sats

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2
Q

pt on 15 L NRB what should their sats be

A

98% but youve got ot take 10 from that to get the actual sats

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3
Q

Meds used in acute severe asthma management

A

salbutamol,
ipatropium bromide,
hydrocortisone
magnesium sulphate

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4
Q

Features of life threatening asthma and Mx

A

silent chest, exhaustion hypotension resp failure pEFR 33%

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5
Q

Features of acute severe asthma

A

inability to complete sentences PEFR 33-55

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6
Q

Features of mod asthma

A

PEFR >55

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7
Q

stepwise managment of asthma

A 
SABA 
SABA and LICS 
SABA and LICS and LABA 
SABA HICS/LICS LABA and LRA (theophyline)
SABA HICS and OCS
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8
Q

Spirometry result in asthma

A

low FEV1

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9
Q

3 Features of asthma

A

Triad- sob wheeze cough
Triggers
Atopy

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10
Q

MRC dyspnoea scale

A

Activity required to induce breathlessness

  1. no problems
  2. probs going up hill
  3. probs walking on flat surface
  4. cannot walk 100m w/o stop
  5. cannot leave house
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11
Q

Blue bloater features 3

A

brocholitis crackles odema, cyanosis

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12
Q

pink puffer 3 features

A

pursing lips cahcexic barrelches withaccessory muscle us

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13
Q

What is used to calculate prognosis in COPD and what does a 0-2 score indicate

A

BODE- BMI, airflow obstruction, dysnoea and excersize capacity
means a 4 year survival

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14
Q

which level of MRC would you recommond pulmonary rehabilitation

A

level 3 enables them to achieve better phsyical and social outcomes

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15
Q

Management of exacerbation of COPD

A

1, VENTURI start at 28% at 4L

  1. salbutamol nebs with the o2
  2. prednisolone - IV or oral
  3. Antibiotics
  4. iv fluids
  5. vte prophylaxis
  6. theophylline if salbutamol doesnt work
IPAD 
INC FREQ SABA
PRED PO
AMOXICILLIN 
DOXYCYCLIN
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16
Q

what should you consider in a patient with recurrent exacerbations requiring steroids

A

osteoporsis prophylaxis

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17
Q

what does curb mean

A 
confusion - amts <7 
urea - > 7 
rr >30
b - 90/60
65 y/o
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18
Q

curb of 0 what does it mean

A

Three day amoxicillin should be given and reviewed at three days and if needed prescribe 7-10 days and clarithromycin if alergic

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19
Q

CURB 1-2

A

dual therapy
amox and claritho
OR
Doxycycline if pregnant or BF

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20
Q

crb 3 what does it mean

A

admit and buffalo

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21
Q

Management of acute pul odema

A

OLDMAN
OXYGEN
LOOP DIURETIC - FUROSEMIDE

BALANCE FLUID - urinary catheter
ANALGESIA Morphine
GTN

Metaclopramide
CPAP may be needed

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22
Q

Managament of oral oneumothroax and who gets it

A

thin tall men
1. chest aspirate to force the air out fron 2 ics mcl

5th intercoastal midaxillary is the chest drain

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23
Q

Managment of tension pneumothorax

A

needle decompression needs to be large bore cannulae

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24
Q

difference between primary and secondary pneumothorax

A

primary tall man young

secondary is secondary to a pulmonary condition making it more likely to get this.

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25
What is flail chest?
2 ribs fractured in 2 places
26
What resp condition has RBBB
pe
27
what resp condition has t wave inversion
pe
28
what resp condition has S1Q3T3
Massive PE
29
things that would warrent immediate admission in pe
if gave birth in last 6 weeks have 4 points on wells
30
What happens is wells less than 4
D- dimer if D-dimer is +ve then LMWH and CTPA if d-dimer -ve then consider alternative diagnosis Doopler USS of legs
31
what happens is wells more than 4
1. anticaog LMWH 2. CTPA 3. doopler USS of legs
32
Criteria in PERC score
``` H- Hormone use A- age >50 D - DVT/PE hx C - coughing up blood L - leg swelling unilateral O- oxygen if <95% Tachy >100 S- surgery or trauma ```
33
if haemodynamically stale and high risk and anticoaglated with LMWH
500mg bolus alteplase
34
what condition do you see air bronchogram
consolidation it is absent in pleural efflusion as its filled with water so you cant see it
35
what direction does the trachea move in tension pneumo and collapse
collapse it goes to | tension it goes away from the unhealthy lung
36
Meds used in acute severe asthma management
salbutamol, ipatropium bromide, hydrocortisone magnesium sulphate
37
Features of life threatening asthma and Mx
silent chest, exhaustion hypotension resp failure pEFR 33%
38
Features of acute severe asthma
inability to complete sentences PEFR 33-55
39
Features of mod asthma
PEFR >55
40
stepwise managment of asthma
``` SABA SABA and LICS SABA and HICS and LABA SABA, HICS/LICS, LABA and LRA(theophylline) SABA HICS LABA and OCS ```
41
Spirometry result in asthma
low FEV1
42
3 Features of asthma
Triad- sob wheeze cough Triggers Atopy
43
MRC dyspnoea scale
Activity required to induce breathlessness 1. no problems 2. probs going up hill 3. probs walking on flat surface 4. cannot walk 100m w/o stop 5. cannot leave house
44
Blue bloater features 3
brocholitis crackles odema, cyanosis
45
pink puffer 3 features
pursing lips cahcexic barrelches withaccessory muscle us
46
What is used to calculate prognosis in COPD and what does a 0-2 score indicate
BODE- BMI, airflow obstruction, dysnoea and excersize capacity means a 4 year survival
47
which level of MRC would you recommond pulmonary rehabilitation
level 3 enables them to achieve better phsyical and social outcomes
48
Management of exacerbation of COPD
1, VENTURI start at 28% at 4L 2. salbutamol nebs with the o2 3. prednisolone - IV or oral 4. Antibiotics 5. iv fluids 6. vte prophylaxis 7. theophylline if salbutamol doesnt work
49
what should you consider in a patient with recurrent exacerbations requiring steroids
osteoporsis prophylaxis
50
what does curb mean
``` confusion - amts <7 urea - > 7 rr >30 b - 90/60 65 y/o ```
51
curb of 0 what does it mean
Three day amoxicillin should be given and reviewed at three days and if needed prescribe 7-10 days and clarithromycin if alergic
52
CURB 1-2
dual therapy amox and claritho OR Doxycycline if pregnant or BF
53
crb 3 what does it mean
admit and buffalo
54
Management of acute pul odema
OLD BAG and a M Oxygen Loop Diuretic - furosemide Balance - monitor fluid -restrict Analgesia - Morphine GTN Metaclopramide dobutamine if severe salbut if wheeze DVT prophylaxis
55
Managament of oral pneumothroax and who gets it
thin tall men 1. chest aspirate to force the air out fron 2 ics mcl 5th intercoastal midaxillary is the chest drain
56
Managment of tension pneumothorax
needle decompression needs to be large bore cannulae
57
difference between primary and secondary pneumothorax
primary tall man young | secondary is secondary to a pulmonary condition making it more likely to get this.
58
What is flail chest?
2 ribs fractured in 2 places
59
What resp condition has RBBB
pe
60
what resp condition has t wave inversion
pe
61
what resp condition has S1Q3T3
Massive PE
62
things that would warrent immediate admission in pe
if gave birth in last 6 weeks have 4 points on wells
63
What happens is wells less than 4
D- dimer if D-dimer is +ve then LMWH and CTPA if d-dimer -ve then consider alternative diagnosis Doopler USS of legs
64
what happens is wells more than 4
1. anticaog LMWH 2. CTPA 3. doopler USS of legs
65
Criteria in PERC score
``` H- Hormone use A- age >50 D - DVT/PE hx C - coughing up blood L - leg swelling unilateral O- oxygen if <95% Tachy >100 S- surgery or trauma ```
66
if haemodynamically stale and high risk and anticoaglated with LMWH
500mg bolus alteplase
67
what condition do you see air bronchogram
consolidation it is absent in pleural efflusion as its filled with water so you cant see it
68
what direction does the trachea move in tension pneumo and collapse
collapse it goes to | tension it goes away from the unhealthy lung

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