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30 Cards in this Set

  • Front
  • Back
3 manifestations of respiratory disease
Dyspnea
Cough
Chest pain
dyspnea:
Abnormally uncomfortable sensation of breathing, disproportionate to _____
stimulus
Breathlessness that awakens patients from sleep
Paroxysmal Nocturnal Dyspnea (PND)
PND is
Typically associated with (left? or right?) ventricular failure (Congestive Heart Failure)
left
Dyspnea in the supine position.
Orthopnea
Orthopnea:
Associated with left? or right? ventricular failure (Congestive Heart Failure).
left
Treatment of Dyspnea
1) Treat underlying cause
2) Oxygen therapy
3) Morphine 1mg I.V.
4) Anxiolytic (i.e. benzodiazepine) use cautioned
Comment on psyche therapeutic effect with O2
may additionally help with the psychological component as much as the physiological component.
Morphine can depress the respiratory sys. Why use in dyspnea?
can be helpful in small dose.
Respiratory depressant effect can be reversed (with Narcon?)
TEST QUESTION:
Chronic bronchitis (smoker’s cough)
Cough, usually productive, on most days, for how long (for diagnosis)?
3 months annually for
2 or more successive years
Barking, seal-like cough
Croup
Paroxysm of nonproductive coughing followed by “whoop” of deep inhalation (child-style)

Nonproductive (adult-style) cough lasting _______
Pertussis


2 weeks
Productive cough of pink, foamy sputum
Pulmonary edema
TEST QUESTION:

Productive cough of Rust-colored sputum
Pneumococcal Pneumonia
Treatment For nonproductive cough
Suppression of cough (Anti-tussive)
Treatment For productive cough
Expectorant
Narcotic Anti-tussives (3)
Dextromethorphan (DM): 1200mg over 24 hours
Codeine containing products: 15mg every 4 hr
Hydrocodone products: 5mg every 4 hours
Non-narcotics Anti-tussives (1)
Benzonatate (Tessalon) 100mg pearles 1 or 2 p.o. T.I.D.
Expectorant (1)
Guaifenesin
Dose: 2400mg over 24 hour period
Robitussin syrup: 300mg every 4 hours
Mucinex sustained release tablets: 1,200mg BID
Sound-alike Drug Alert

Guaifenesin (expectorant) looks like
Guanfacine (Tenex): Central Alpha 2 agonist used to treat hypertension
TEST QUESTION

Coughing up blood (1 word)
HEMOPTYSIS
TEST QUESTION:

Less concerning cause of hemoptysis:
Acute bronchitis
TEST QUESTION:

Decreasingly common cause of hemoptysis:
Tuberculosis
TEST QUESTION:

Ominous cause of hemoptysis that needs workup:
Cancer
TEST QUESTION:

Workup for cancer suspected of causing hemoptysis
Chest x-ray
Chest C.T. scan with contrast
Bronchoscopy
TEST QUESTION:

Cardiac chest pain must be differentiated from ________ chest pain.
non-cardiac



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

________ pleura is innervated with pain fibers

there are 2 kinds of pleura
Parietal



P is for pain
Visceral pleura is not
Pleurisy: Inflammation of ______
pleura

...causes (pleuritic) chest pain
What makes pleurisy worse?
Related to respiratory movements
Worse with deep breath, cough, sneeze
Pleurisy is caused by what?
1) Self-limited process
Viral infection
2) Serious process
Pneumonia
Pulmonary embolism
Myocardial infarction