Nur 731 Resp Left Out Of 1 & 2

Front 1

MDI coordination difficulty?

Back 1

Inspirease (collapsible chanmber)
Maxair
plastic handle adapter

Front 2

Imminuz for Asthmatics?

Back 2

flu annually
pneumoccal vaccine q 5 yrs

Front 3

Extrinixic Asthma?

Back 3

FH
atopia
pollen pet dander, dust mite cockroach excret...

Front 4

Pulsus Paradoxus?

Back 4

appears during severe exacerb. >20 mm Hg fall in BP during inspiration

Front 5

Synder syndrome?

Back 5

fatal asthma if use ASA or NSAID that inhibit cyclooxygenase

Front 6

Peak flow zones for green, yellow and red?

Back 6

Green 80-100%
Yellow 60-80%
Red under 50-60%

Front 7

Large Airway obstruction is assessed by ?

Back 7

PEFR
FEV1/FVC ratio

Front 8

VC?

Back 8

max volume of air that can be expired after a full inspiration

Front 9

VC =?

Back 9

sum of IC + ERV

Front 10

CV?

Back 10

Closing volume
% of vital capacity
volume at which lower lung zones cease to ventilate

Front 11

Early COPD is best measured by measuring indicies for smalller airways, which are?

Back 11

FEF 25-75 best
forced expiratory flow after 25-75% VC is expelled
CV and MMFR (mid expiratory flow rate)

Front 12

For Bronchial prov test?

Back 12

is + if FEV decreases by 20%/ more after inhal broncho
Refrain from using broncho for 8 hrs before test & antihistamines for 48 hrs before test

Front 13

Baseline PFT should be measured how long before /after broncho d?

Back 13

6 hrs

Front 14

Some asthma's only respond to ?

Back 14

gluccocorticosteroids

Front 15

Asthma exacerb?

Back 15

measure PEFR
Albuterol neb 5 mg/5cc in 2.5 cc NS over 5 min and repeat in 15 if needed
SQ epi 0.2-0.3 ml 1:1000 aqueos soln, check VS and may repeat x 2

Front 16

Preg Cat B?

Back 16

B TALC
T terbutaline
A atrovent
L LTRA
C cromolyn

Front 17

Preg Cat C?

Back 17

C BIT
B B 2 antog
I ICS
T theophylline

Front 18

Suffix for steroids?

Back 18

-one
-ide

Front 19

Suffix for B2 agonist?

Back 19

-terol

Front 20

Suffix for LTRA

Back 20

-lukast
-eton Zileuton (Zyflo)

Front 21

Mast cell stabliliers take the place of ?

Back 21

ICS or LTRAs

Front 22

Continuous O2 with COPD if ?

Back 22

PO2<55 or erythrocytosis

Front 23

erythrocytosis

Back 23

The normal limits on these blood values for males and females respectively are 52% and 47% for the hematocrit, and 17.7 g/dl and 15.7 g/dl for hemoglobin concentration.

Front 24

For COPD exacerbations, what organisms are you mostly likely to fine?

Back 24

S pneumonia
H flu
Moraxella
Chlamydia and sparophytes

Front 25

Usual tx for AB to early COPD

Back 25

Augmentin 500 mg po bid
Ceclor 50 mg po TID
Doxy 100 mg Bid po
Bactrim DS bid for 10 days
ithromax
and Biaxin

Front 26

Which med doesn't cover H flu?

Back 26

Eryth

Front 27

When shou d you follow up for a acute COPD exacb

Back 27

F/U in two days and reevealute
consider changing a/b

Front 28

Exacer bation of COPD can mimich ?

Back 28

pneumo
or a new infiltrate
check ABGs and spirometry

Front 29

If t wasn't immunized, what do you do?

Back 29

within 72 hrs give
Amantidine 200 mg / day (100mg /day if 65 yrs)
Rimantadine 100 bid po
or Relenza or Tamiflu

Front 30

With po steroids, when do you monitor improment ?

Back 30

after tow weeks on 20 mg of prednisone qd

Front 31

Theophylline can be used in COPD pt with ?

Back 31

for heart dx it can iprove CO and improve perfusion in an ischemcic MI and reduce pulmonnary vascular so it may be helpful in pts with HD or cor pulmonale

Front 32

Indication sfor cont O2 therapy?

Back 32

HCt > 56 % erythrocytosis
ECG + for cor pulmonale
CHF
resting arterial O 2 pressure 55 or O 2 sat under 88%
evaluate pts on cont q 6 wks
O2

Front 33

Mortality:
FEV1 <0.75 L?

Back 33

30% at 2 yrs
95% 10 yrs after diagnosis