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6 Cards in this Set

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  • Back

The primary ventilator strategy for patients with severe obstructive lung disease

to allow adequate time for exhalation before the next delivered breath and to minimize auto–positive end-expiratory pressure (auto-PEEP)

Ventilation strategies that increase expiratory time


decreasing the tidal volume and respiration rate


increasing inspiratory flow rates


judicious use of sedation and analgesia

sequelae of auto-PEEP


increases in end-expiratory pressures


decreased venous return


hypotension


barotrauma

mechanisms of bicarbonate therapy in TCA overdose

not well described, it is believed that the increased serum pH minimizes binding of the drug to sodium channels and that the increased serum sodium concentration alters the gradient across sodium channels, decreasing the risk of arrhythmic potentials in the myocardium

pregnancy classification of long-acting β2-agonists

pregnancy category C, meaning evidence of safety is lacking but the potential benefit of the drug may justify the potential risk



Despite this, the addition of a long-acting β2-agonist is recommended when symptoms are not controlled with medium-dose inhaled corticosteroids because the addition of this medication results in better asthma control compared with doubling the dose of inhaled corticosteroids

Potential clues for vocal cord dysfunction

sudden onset and abrupt termination of attacks, lack of response to asthma therapy, prominent neck discomfort, and lack of hypoxemia