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9 Cards in this Set

  • Front
  • Back
Important cause of COPD
- smoking ... duh
Chronic bronchitis
- blue bloater
- excessive secretions of bronchial mucus and productive cough for 3 months or more in at least 2 years
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
Blue BLOATER
- bronchitis
- chronic cough with dyspnea
- age usually 30-40
- overweight and cyanotic
- noisy lungs sounds
- peripheral edema!
Bacterial Pnuemonia
- Major causes
- S. pneumoniae
- H. influenzae (community aquired)
Bacterial Pneumonia
- S/S
- rapid oset of HIGH FEVER
- PRODUCTIVE COUGH
- plueritic chest pain
- leucocytosis
-tachypnea
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
Bacterial Pneumonia
- atypical causes
- legoinella, mycoplasma, chlamydia
- Legoinella - though water or AC
- slow onset, NONPRODUCTIVE COUGH, myalgias
- TX- fluoroquinolones and mcarolides