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9 Cards in this Set
- Front
- Back
Important cause of COPD
|
- smoking ... duh
|
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Chronic bronchitis
|
- blue bloater
- excessive secretions of bronchial mucus and productive cough for 3 months or more in at least 2 years |
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Emphysema
|
- pink puffer
- abnormal enlargment of air spaces distal to terminal bronchial w/ wall distruction and w/o obvious fibrosis |
|
PINK PUFFER
|
- emphysema
- complains of severe Dyspnea - Usually 50 or older - Thin body build - Quiet lung sounds - No peripheral edema |
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Blue BLOATER
|
- bronchitis
- chronic cough with dyspnea - age usually 30-40 - overweight and cyanotic - noisy lungs sounds - peripheral edema! |
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Bacterial Pnuemonia
- Major causes |
- S. pneumoniae
- H. influenzae (community aquired) |
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Bacterial Pneumonia
- S/S |
- rapid oset of HIGH FEVER
- PRODUCTIVE COUGH - plueritic chest pain - leucocytosis -tachypnea |
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Bacterial Pneumonia
- Management |
- start antibiotics within 8 hours
- fluoroquinolone or 3rd gen cephalosporin - Labs: CBC, BMP, BC x's 2, gram stain and sputum culture - pulse ox |
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Bacterial Pneumonia
- atypical causes |
- legoinella, mycoplasma, chlamydia
- Legoinella - though water or AC - slow onset, NONPRODUCTIVE COUGH, myalgias - TX- fluoroquinolones and mcarolides |