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9 Cards in this Set
- Front
- Back
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According to the recent literature can deep suctioning for bronchiolitis be detrimental?
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Patients with no deep suctionning tended to have a shorter length of stay as inpatient
Possible mucosal trauma |
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Do bronchodilators for bronchiolitis have an affect on hospitalization ( base on patients classified as first time wheezers)
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No effect on hospitalization due to a recent Cochrane review
No improvement in clinical score based |
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How do asthma risk factors play into bronchodilator responsiveness in bronchiolitics
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No statistical difference based on asthma risk factors
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Does hypertonic saline affect hospitalization
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According to a cochrane review - barely any effect in pooled estimates - more large trials may be needed to calculate effect
No effect with 7% hypertonic saline accordiing to a randomized controlled trial |
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Steroids vs. placebo in bronchiolitics
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Not effective at reducing admissions
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Racemic epinephrine vs. placebo in bronchiolitis
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Cochrane review - reveals that when those studies with some bias - no effect on admissions
But epi has been shown to improve resp distress |
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Sending home bronchiolitics on O2
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Can be done in patients feeding well, appear well but have hypoxemia - has been done more out of Denver
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Combination therapy of epi + Dex - what effect on admission rate
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Lowered admission rates but more, so by day 7
Cummulative effect synergistic and possible cost effective effect |
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How do steroids improve effect in bronchiolitis
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Improved uptake of beta receptors
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