Shortness Of Breath

Front 1

dyspnea during pregnancy is common however

Back 1

pregnant women with acute or unexlained sob deserve eval for a PE

Front 2

pregnant women imaging

Back 2

CXR while shielding abdomen, V/Q scan as opposed to CT also a half dose perfusion scan without ventilation can be done

Front 3

functional test that can provide tremendous info about the patients resp status

Back 3

ambulation

Front 4

a patient fails a breif trial of NIPPV...

Back 4

the physician should be prepared for intubation

Front 5

in severe asthma or status what else is given

Back 5

mag epi or heliox can also be tried

Front 6

high doses of CS are used initially for

Back 6

moderate to severe asthma exacerbations

Front 7

in the setting of acute pulmonary edema...

Back 7

100% O2 must be provided often under positive pressure the patient is maintained in the upright position with legs dangling if possible to assist fluid redistribution from the lungs

Front 8

IV loop dieuretics are used in acute pulmonary edema because

Back 8

not only diurese but cause increased venous capacitance with the usual starting dose of furosemide being 20-80mg IV...sublingual NG also causes redistribution and can be administered

Front 9

patients requiring nitrodrip because of high BP require what

Back 9

art line

Front 10

may be of limited benefit in patients presenting with acute pulmonary edema

Back 10

refers to Beta blockers as there is often mild to moderate bronchospasm

Front 11

no definitive role in acute management of CHF

Back 11

dig

Front 12

if absolutely needed in the setting of CHF what beta blocker should be used

Back 12

often reserved for Diastolic dysfxn choose esmolol (short acting)

Front 13

usually the only therapy for patients on dialysis and chronic renal failure

Back 13

emergent dialysis

Front 14

standard anticoagulation therpy for PE

Back 14

heparin and warfarin

Front 15

If anaphyulaxis or allergic rxn suspected give

Back 15

(aerosolized, SC or IV) epi, IV benadryl, IV CS and IV H2 blockers

Front 16

dyspnea occurs in 75% of pregnant women by when

Back 16

30th week 2/2 higher diaphragm, blood redistribution and progesterone causing increased CO2 sensitivity...the physiologic dyspnea of pregnany rarely increases in severity in the final weeks

Front 17

life threatening causes of dyspnea in the pregnant patient are

Back 17

preeclampsia and PE

Front 18

which dyspnea patients need to be admitted

Back 18

patients requiring supplemental O2 to maintain Oxygenation and those with distress...also recommended in in someone with unstable angina having dyspnea even if they respond to therapy in the ED

Front 19

normal A-a gradient

Back 19

2-10 but this increases with age and may be as high as 30 in elderly

Front 20

A-a gradient calculated by

Back 20

(713)FiO2- PaCO2/0.8

Front 21

causes of an A-a gradient

Back 21

1. V/Q Mismatch (ex: PNA, CHF, ARDS, atelectasis, etc)

2. Shunt (ex: PFO, ASD, PE, pulmonary AVMs)

3. Alveolar Hypoventilation (ex: interstitial lung dz, environmental lung dz, PCP PNA)

Front 22

best CXR for dyspnic

Back 22

PA and Lateral however a portable AP is often necessary at bedside

Front 23

CXR worrisome for PE

Back 23

a normal one in the setting of Hypoxemia

Front 24

incongruity

Back 24

lack of harmony; absurdity; incompatible; inconsistent

Front 25

incidence of a silent MI is approximately

Back 25

20%

Front 26

calssic PE finding on ECG

Back 26

S1Q3T3

Front 27

dirge

Back 27

to lament with music; a slow, solemn, and mournful piece of music

Front 28

ECG of PE

Back 28

S1Q3T3

Front 29

the VQ scan is reserved for what patients

Back 29

renal insufficiency

contrast allergies

and pregnant patients

Front 30

chemoreseptors for respiration

Back 30

aortic and carotid bodies

Front 31

one of the earliest findings in people with diaphragmatic weakness from neuromuscular D/Os

Back 31

orthopnea

Front 32

dyspnea associated with unilateral recumbant position may opccur in patients with unilateral dz, ball-valve airway obstruction diaphragmatic paralysis or COPD

Back 32

trpopnea

Front 33

diaphragmatic paralysis from injury to what levels

Back 33

C3-5

Front 34

a patient that can speak in few words has

Back 34

moderate RD

Front 35

suggstive of hypercarbnia

Back 35

somnolence

Front 36

jugular venous distention on inspiration is referred to as

Back 36

cussmall's sign