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Flashcards in Respiratory Deck (147)
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1

oral temperature in patient breathing fast

inaccurate

2

asthma epidemiology

INCREASING
- incidence
- prevalence
- hospital admissions

3

best initial test in acute asthma exacerbation

PEF and ABG's

4

CXR in asthma

NORMAL

5

most accurate diagnosis of asthma

PFTs

6

when patient is asymptomatic and want to diagnose asthma

methacholine challenge test

7

CBC asthma

increase eosinophils

8

other random dx of asthma

skin testing and IgE levels

9

STEP 1 asthma tx

saba

10

STEP 2 asthma tx

+ low dose ICS or (cromolyn, theo, LTRA)

11

step 3 asthma tx

+ LABA
OR
INCREASE dose of ICS

12

step 4 asthma tx

saba + MAX dose ICS + LABA

13

step 5 asthma tx

+ omalizumab

14

step 6 asthma tx

ORAL steroids

15

adverse effects with zafirlukast

churg strauss

16

adverse effects with inhaled steroids

DYSPHONIA and oral candidiasis

17

anticholinergics in asthma

unknown use

18

best indication of asthma severity

RESPIRATORY RATE

19

PEF mainly based on....

HEIGHT, age
NOT weight

20

tx acute asthma exacerbation

- O2
- albuterol
- steroids
- epinephrine
- magnesium
- ICU--> resp acidosis-- intubation

21

acute asthma best....

epinephrine> albuterol> magneseium

22

best initial tests for dx COPD

CHEST XR: increase AP diameter and flat diaphragm

23

DLCO in COPD

decrease in emphysema
NOT in chronic bronchitis

24

reversibility- complete

bronchodilator response greater than 12% increase and 200mL increase in FEV1

25

dx of COPD

ABG: increase CO2, decrease O2
CBC: increase Hct
EKG: RA/RV hypertrophy and a.fib or MAT
ECHO: RA/RV hypertrophy and pulmonary HTN

26

MAT in COPD

multifocal atrial tachycardia

27

improving mortality in COPD

smoking cessation
O2 tx
influenza and pneumococcal vaccine

28

O2 use in COPD

O2 less than 55/ sat less than 88%

with pulmonary HTN/ high Hct/ cardiomyopathy:
O2 less than 60/ sat less than 90%

29

anticholinergics in COPD

YESS ARE EFFECTIVE-- no change in mortality

30

asthmatic not controlled with saba

ICS