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Flashcards in Respiratory Deck (41):
1

Rhinitis

Corticosteroids e.g. Beclometasone, prednisolone

2

Aspiration Pneumonia

MAG
Metronidazole + Amoxicillin + Gentamycin IV

3

Acute Asthma

O SHIT MAN
Oxygen 100%
Salbutamol (nebuliser)
Hydrocortisone or Prednisolone
Ipatropium
Theophylline
Magnesium
Anaesthetist

4

Lung Cancer

Surgery
Radiotherapy
Chemotherapy

5

Lung Cancer- small cell carcinoma

Chemotherapy
Supportive of poor prognosis

6

Lung Cancer- non-small cell

Surgical excision
Radiotherapy

7

TB

4 for 2, 2 for 4

RIPE
Rifampicin
Isoniazid
Pyrazinamide
Ethambutol

RI
Rifampicin
Isoniazid

8

Acute Sarcoidosis

Rest with NSAIDS

9

Chronic Sarcoidosis

Immunosuppression (Methotrexate)
Corticosteroids (Prednisolone)

10

Acute Respiratory Disease Syndrome

Resuscitation with oxygen
Treat underlying cause

11

Neonatal distress syndrome

Surfactant
Oxygen

Expectant mothers are usually given steroids to prevent this situation

12

Tension pneumothorax

Chest drain
Needle aspiration in 2nd intercostal space, midclavicular line

13

Traumatic pneumothorax

In mild cases- observe and consider chest drain
In severe cases- immediate chest drain

14

Primary pneumothorax (spontaneous)

If small- observe
If medium- aspiration
If complete- aspiration and/or chest drain

15

Secondary pneumothorax

Secondary to respiratory disease so always requires a chest drain

16

Mild CAP
CURB65= 0-2

Amoxicillin
Penicillin allergic: Doxycycline

17

Severe CAP
CURB65= >2

Co-amoxiclav + Doxycycline

Penicillin allergic: Levofloxacin

18

Non- Severe HAP

Amoxicillin + Metronidazole

Penicillin allergic: Co-trimoxazole + metronidazole

19

Severe HAP

Amoxicillin + Metronidazole + Gentamicin

Penicillin allergic: Co-trimoxazole + Metronidazole + Gentamicin

20

Lung Abscess

Antibiotics based on sputum culture results

21

Pertussis (whooping cough)

Clarithromycin or Erythromycin
Vaccination

22

Small PE

Low molecular weight Heparin

23

Large PE

Thrombolysis

24

Obstructive Sleep Apnoea

CPAP Machine
Reduce weight
Reduce alcohol consumption

25

Central Sleep Apnoea

Respiratory Stimulant
NIPPV (Non-Invasive Positive Pressure Ventilation)
Treat underlying cause

26

Mesothelioma

Chemotherapy
Survival at 2 yeas is extremely low
Poor prognosis

27

Pulmonary Fibrosis

Supportive
E.g. Oxygen therapy and pulmonary rehabilitation

28

Extrinsic Allergic Alveolitis
(Bird Fancier's Lung)
(Farmer's Lung)

Oxygen
Prednisolone (oral)
Avoidance of allergen

29

Epiglottis

Oxygen (intubation)
IV fluids
Antibiotics (Ceftriaxone)

30

Empyema

Pleural fluid drainage
IV broad spectrum, antibiotics
Oral culture-specific

31

Cystic Fibrosis

Physiotherapy and postural drainage
Early Antibiotics for chest infection (strong and long)
Salbutamol- reliever
Beclometasone- reduce inflammation
Supplements- pancreatic enzymes, vitamins, high-calorie diet

32

Laryngotracheobronchitis (Croup)

Prednisolone

33

Coryza (common cold)

Supportive/Bed Rest

34

Cor Pulmonale (right-sided heart disease)

Treat underlying cause- secondary to lung disease

35

Acute COPD

iSOAP

Ipratropium bromide (Neb)
Salbutamol (Neb)
Oxygen
Amoxicillin (2nd line-Doxycycline)
Prednisolone ( Oral)

36

Chronic COPD

Step 1: SAMA (Ipratropium)
Step 2: LAMA (Tiotripium)
Step 3: LABA (Salmeterol) + inhaled corticosteroid (Beclometasone)

37

Pneumoconiosis (inhalation of dust)

Removal of exposure

38

Bronchiolotis

Supportive

39

Bronchiectasis

There is no cure
Symptomatic relief- postural drainage of affected lobe and antibiotics

40

Chronic Asthma

Step 1: SABA (salbutamol) + low dose Inhaled corticosteroid (beclometasone)
Step 2: LABA (salmeterol) + medium dose ICS
Step 3: Leukotriene receptor agonist (montelukast) orally
Step 4: Steroids (Prednisolone) orally

41

Asbestosis

No treatment
Symptomatic relief
Monitor for mesothelioma