Wannamaker 10-3-07 Pt With Resp Dis

Front 1

3 manifestations of respiratory disease

Back 1

Dyspnea
Cough
Chest pain

Front 2

dyspnea:
Abnormally uncomfortable sensation of breathing, disproportionate to _____

Back 2

stimulus

Front 3

Breathlessness that awakens patients from sleep

Back 3

Paroxysmal Nocturnal Dyspnea (PND)

Front 4

PND is
Typically associated with (left? or right?) ventricular failure (Congestive Heart Failure)

Back 4

left

Front 5

Dyspnea in the supine position.

Back 5

Orthopnea

Front 6

Orthopnea:
Associated with left? or right? ventricular failure (Congestive Heart Failure).

Back 6

left

Front 7

Treatment of Dyspnea

Back 7

1) Treat underlying cause
2) Oxygen therapy
3) Morphine 1mg I.V.
4) Anxiolytic (i.e. benzodiazepine) use cautioned

Front 8

Comment on psyche therapeutic effect with O2

Back 8

may additionally help with the psychological component as much as the physiological component.

Front 9

Morphine can depress the respiratory sys. Why use in dyspnea?

Back 9

can be helpful in small dose.
Respiratory depressant effect can be reversed (with Narcon?)

Front 10

TEST QUESTION:
Chronic bronchitis (smoker’s cough)
Cough, usually productive, on most days, for how long (for diagnosis)?

Back 10

3 months annually for
2 or more successive years

Front 11

Barking, seal-like cough

Back 11

Croup

Front 12

Paroxysm of nonproductive coughing followed by “whoop” of deep inhalation (child-style)

Nonproductive (adult-style) cough lasting _______

Back 12

Pertussis


2 weeks

Front 13

Productive cough of pink, foamy sputum

Back 13

Pulmonary edema

Front 14

TEST QUESTION:

Productive cough of Rust-colored sputum

Back 14

Pneumococcal Pneumonia

Front 15

Treatment For nonproductive cough

Back 15

Suppression of cough (Anti-tussive)

Front 16

Treatment For productive cough

Back 16

Expectorant

Front 17

Narcotic Anti-tussives (3)

Back 17

Dextromethorphan (DM): 1200mg over 24 hours
Codeine containing products: 15mg every 4 hr
Hydrocodone products: 5mg every 4 hours

Front 18

Non-narcotics Anti-tussives (1)

Back 18

Benzonatate (Tessalon) 100mg pearles 1 or 2 p.o. T.I.D.

Front 19

Expectorant (1)

Back 19

Guaifenesin
Dose: 2400mg over 24 hour period
Robitussin syrup: 300mg every 4 hours
Mucinex sustained release tablets: 1,200mg BID

Front 20

Sound-alike Drug Alert

Guaifenesin (expectorant) looks like

Back 20

Guanfacine (Tenex): Central Alpha 2 agonist used to treat hypertension

Front 21

TEST QUESTION

Coughing up blood (1 word)

Back 21

HEMOPTYSIS

Front 22

TEST QUESTION:

Less concerning cause of hemoptysis:

Back 22

Acute bronchitis

Front 23

TEST QUESTION:

Decreasingly common cause of hemoptysis:

Back 23

Tuberculosis

Front 24

TEST QUESTION:

Ominous cause of hemoptysis that needs workup:

Back 24

Cancer

Front 25

TEST QUESTION:

Workup for cancer suspected of causing hemoptysis

Back 25

Chest x-ray
Chest C.T. scan with contrast
Bronchoscopy

Front 26

TEST QUESTION:

Cardiac chest pain must be differentiated from ________ chest pain.

Back 26

non-cardiac



History
Physical examination
Diagnostic testing
EKG
Chest x-ray
Cardiac enzymes
Other

Front 27

TEST QUESTION:

________ pleura is innervated with pain fibers

there are 2 kinds of pleura

Back 27

Parietal



P is for pain
Visceral pleura is not

Front 28

Pleurisy: Inflammation of ______

Back 28

pleura

...causes (pleuritic) chest pain

Front 29

What makes pleurisy worse?

Back 29

Related to respiratory movements
Worse with deep breath, cough, sneeze

Front 30

Pleurisy is caused by what?

Back 30

1) Self-limited process
Viral infection
2) Serious process
Pneumonia
Pulmonary embolism
Myocardial infarction