Pulmonary Drugs

Front 1

MCC of bronchiolitis=
MCC of bronchiolitis thats ends up in the hospital=

Back 1

1) Parainfluenza
2) RSV

Front 2

4 treatment options for RSV bronchiolitis

Back 2

1) Palivizumab
2) Motivisumab
3) Ribavarin ***for premies and kids
w end organ damage

Front 3

clues for ANY atypical PNA

Back 3

1) feel fine
2) ground glass
3) reticulonudular

Front 4

Hierchy of treatment for atypical PNA

Back 4

1st macrolide
2nd tetracycline
3rd quinolone

Front 5

Atypical PNA by age

Back 5

0-2 mo --> chlamydia
10- 30 y/o --> mycoplasma
>40 y/o --> legionella

Front 6

Name the fungi that can infect the lung

Back 6

1) Histo
2) Coccidio
3) Paracoccidio
4) Asperillus
5) Sporothrix

Front 7

Rx regimen for fungi in lungs

Back 7

Ampotericin B w flucystosine IV x2 wk

followed by: INFRAconazole, FLUconazole, or KETOconazole x6 wk

Front 8

Rx for Nocardia in lungs

Back 8

Trim/Sulfa

Front 9

epiglotitis
bug?
best Rx

Back 9

bug: H inf B
best rx: IV cefuroxime or ceftriaxone

Front 10

top 3 causes of bacteria PNA
for ALL ages

Back 10

1) strep pneumo
2) H inf
3) N. cat

Front 11

Rx for central apnea

Back 11

caffeine, theopylline

Front 12

Rx for Obstructive apnea

Back 12

1st line: wt loss
2nd line: progesterone (raises RR)

CPAP, uvuloplatoplasty

Front 13

Define COPD exacerbation

Back 13

increase in dyspnea
dyspnea not relieve with outpt bronchodilators
increased sputum production
increased cough

Front 14

rx for COPD exacerbation

Back 14

-1st line: B2 agonists +/- anticholinergics
-BPIP or CPAP
-Abx (azithro, levofloxacin)
-if require hospitalization: IV methylprednisolone
-if O2 < 90%: supplemental O2

*may need to intubate

Front 15

what should you NEVER give
COPD patients?
COPD exacerbation patients?

Back 15

COPD patients-> B blkrs
COPD exac--> inhaled steroids (must be IV methylprednisolone)

**COPD pts not in exacerbation should be taking an inhaled steroid

Front 16

4 types of asthma

Back 16

1) intermittent
2) mild persistent
3) mod persistent
4) severe persistent

Front 17

intermittent asthma
1) def
2) rx

Back 17

1) <2 days per wk, <2 nights per mo
2) short acting B2 agonists PRN

Front 18

mild persistent asthma
1) def
2) rx

Back 18

1) >2days per wk, >2nights per mo
2) short acting B2 agonists PRN, low dose inhaled corticosteroids daily

Front 19

mod persistent asthma
1) def
2) rx

Back 19

1) daily, night time weekly
2) short acting B2 agonists PRN, long acting B2 agonists daily, low dose inhaled corticosteroids daily

Front 20

severe persistent asthma
1) def
2) rx

Back 20

1) several times a day, frequently at night
2) short acting B2 agonists PRN, long acting B2 agonists daily, high dose inhaled corticosteroids daily

Front 21

Asthma dx:

Back 21

oupt--> PFT's and spirometry
acute exacerbation--> peak flow

Front 22

What should you NEVER give Asthma exacerbation patients?

Back 22

inhaled corticosteroids (must give IV methylprednisilone)

Front 23

rx of
1)Transudative Pleural Effusion
2) Exudative Pleural Effusion
3) Pleural effusion with PNA

Back 23

1) diuretics, Na restriction
2) treat underliying dz
3)
-if not complicated (no empyema), abx only
-if complication (+ empyema), abx repeated drainage

Front 24

rx of small spontaneous PTX

Back 24

observe (should disappear in 10 days)

Front 25

rx of large spontaneous PTX

Back 25

1st: O2 supplement
2nd: chest tube

Front 26

rx of tension PTX

Back 26

1st: large bore needle @ 2nd or 3rd intercostal space @MCL
2nd: chest tube

Front 27

when should PTX get intubated

Back 27

if
1) air pocket >25% OR
2) + sx's

Front 28

meds that cause pulmonary fibrosis
(8)

Back 28

1) methotrexate
2) cormustine
3) penacillimine
4) nitrofurantoin
5) bleomycin
6) busulfan
7) amiodarone
8) tocainide

Front 29

rx of sarcoidosis?

Back 29

1st line: systemic corticosteroids
2nd line: methotrexate

Front 30

rx of histiocytosis?

Back 30

corticosteroids

Front 31

rx for wegners granulomatosis?

Back 31

immunosuppressives and glucorticoids

Front 32

Churg Strauss rx?

Back 32

glucocorticoids

Front 33

rx for silicosis?

Back 33

remove from exposure to silica

Front 34

rx for berylliosis

Back 34

glucocorticoids

Front 35

rx of eosinophilic PNA

Back 35

glucocorticoids

Front 36

rx of goodpastures

Back 36

plasmapheresis, cyclophosphomide, corticosteroids

Front 37

rx for radiation pnuemonitis?

Back 37

corticosteroids

Front 38

rx for pulm HTN

Back 38

treat underlying cause

Front 39

rx for primary pulm HTN (4)

Back 39

1) esoprostenol; IV prostacyclin that vasodilates pulm arteries
2) Ca Ch Blkr: lowers pulm vasc resistance
3) warfarin: to help w venous stasis
4) lung transplant

Front 40

rx for excersize induced asthma

Back 40

1st line:short acting B2 agonists

(may add mast cell stabilizers)