Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
17 Cards in this Set
- Front
- Back
- 3rd side (hint)
|
Name four asthma triggers
|
Weather change
Aspirin Beta blockers Viral URI |
|
|
|
Name the Asthma Class/Tx
Sx < 2x per week Nighttime sx < 2x per month |
Mild intermittant
Bronchodilator PRN |
|
|
|
Name the Asthma Class/Tx
Sx > 2x per week Nighttime sx > 2x per month Normal PFTs |
Mild persistent
Bronchodilator PRN Low dose inhaled steroids (2nd line tx - leukotriene inhibitor) |
|
|
|
Name the Asthma Class/Tx
Requires bronchodilators >1-2x per week |
Moderate persistent:
Low-med dose inhaler/long acting bronchodilator |
|
|
|
Pt with asthma exacerbation, tachypnea with normal CO2. Good or bad?
|
Ominous sign bc indicates fatigue. Patient previously had low CO2 from tachypnea now unable to compensate.
|
|
|
|
Asthma exacerbation not with agitation, flushing, disorientation, HA, and tachycardia. What is happening?
|
Hypercapnia - patient is tiring out and pCO2 is elevated.
|
|
|
|
When do you use levalbuterol?
|
Patient has tachycardia, tremor or irritability
|
|
|
|
True or False: Levalbuterol is more effective than albuterol
|
No hard data to support this. False.
|
|
|
|
Chronic nighttime +/- productive cough not releived with OTC meds
|
Reactive airway disease or cough variant asthma
Also: sinusitis, GERD |
|
|
|
Things that make infants wheeze
|
Aspiration, Bronchopulmonary dysplasia, foreign body, vascular rings
Aspirated drinks, babies with kinks, swallowed thinks, vascular rinks |
|
|
|
DDX for exercise intolerance
|
Exercise induced asthma, anemia
muscle weakness poor conditioning cardiac disease depression distraction |
|
|
|
Asthma risk factor (rules of E's and 3's)
|
Onset before 3
IgE Elevation Maternal hx of asthma (E turned on it's side) Eosinophilia |
|
|
|
Post op complication for which asthma pt is most at risk
|
Laryngospasm/Bronchospasm
|
|
|
|
Unlabored breathing with Sudden onset of intermittant nonproductive cough with expiratory wheezing best heard on the right. History of asthma. Dx?
|
Foreign body aspiration
Next 2 steps? |
Inspiratory/Expiratory chest radiographs
Bronchoscopy to confirm and to remove |
|
|
What is the best way to assess respiratory distress?
|
Signs of anxiety: sweaty, tachycardic
NOT respiratory rate because "normal" rate may be transition from tachypnea to apnea |
|
|
|
Clinical presentation of chronic hypoxemia
|
Headaches, Joint pain, hemoptysis
Mech? |
Kidneys increase EPO which increases Hct. Clots lead to pulmonary emboli
|
|
|
Should you use cough suppressants in children?
|
No - no effectiveness proven. They should be discouraged
|
|
