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33 Cards in this Set
- Front
- Back
MDI coordination difficulty?
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Inspirease (collapsible chanmber)
Maxair plastic handle adapter |
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Imminuz for Asthmatics?
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flu annually
pneumoccal vaccine q 5 yrs |
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Extrinixic Asthma?
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FH
atopia pollen pet dander, dust mite cockroach excret... |
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Pulsus Paradoxus?
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appears during severe exacerb. >20 mm Hg fall in BP during inspiration
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Synder syndrome?
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fatal asthma if use ASA or NSAID that inhibit cyclooxygenase
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Peak flow zones for green, yellow and red?
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Green 80-100%
Yellow 60-80% Red under 50-60% |
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Large Airway obstruction is assessed by ?
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PEFR
FEV1/FVC ratio |
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VC?
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max volume of air that can be expired after a full inspiration
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VC =?
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sum of IC + ERV
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CV?
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Closing volume
% of vital capacity volume at which lower lung zones cease to ventilate |
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Early COPD is best measured by measuring indicies for smalller airways, which are?
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FEF 25-75 best
forced expiratory flow after 25-75% VC is expelled CV and MMFR (mid expiratory flow rate) |
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For Bronchial prov test?
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is + if FEV decreases by 20%/ more after inhal broncho
Refrain from using broncho for 8 hrs before test & antihistamines for 48 hrs before test |
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Baseline PFT should be measured how long before /after broncho d?
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6 hrs
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Some asthma's only respond to ?
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gluccocorticosteroids
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Asthma exacerb?
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measure PEFR
Albuterol neb 5 mg/5cc in 2.5 cc NS over 5 min and repeat in 15 if needed SQ epi 0.2-0.3 ml 1:1000 aqueos soln, check VS and may repeat x 2 |
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Preg Cat B?
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B TALC
T terbutaline A atrovent L LTRA C cromolyn |
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Preg Cat C?
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C BIT
B B 2 antog I ICS T theophylline |
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Suffix for steroids?
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-one
-ide |
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Suffix for B2 agonist?
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-terol
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Suffix for LTRA
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-lukast
-eton Zileuton (Zyflo) |
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Mast cell stabliliers take the place of ?
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ICS or LTRAs
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Continuous O2 with COPD if ?
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PO2<55 or erythrocytosis
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erythrocytosis
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The normal limits on these blood values for males and females respectively are 52% and 47% for the hematocrit, and 17.7 g/dl and 15.7 g/dl for hemoglobin concentration.
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For COPD exacerbations, what organisms are you mostly likely to fine?
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S pneumonia
H flu Moraxella Chlamydia and sparophytes |
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Usual tx for AB to early COPD
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Augmentin 500 mg po bid
Ceclor 50 mg po TID Doxy 100 mg Bid po Bactrim DS bid for 10 days ithromax and Biaxin |
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Which med doesn't cover H flu?
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Eryth
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When shou d you follow up for a acute COPD exacb
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F/U in two days and reevealute
consider changing a/b |
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Exacer bation of COPD can mimich ?
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pneumo
or a new infiltrate check ABGs and spirometry |
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If t wasn't immunized, what do you do?
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within 72 hrs give
Amantidine 200 mg / day (100mg /day if 65 yrs) Rimantadine 100 bid po or Relenza or Tamiflu |
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With po steroids, when do you monitor improment ?
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after tow weeks on 20 mg of prednisone qd
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Theophylline can be used in COPD pt with ?
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for heart dx it can iprove CO and improve perfusion in an ischemcic MI and reduce pulmonnary vascular so it may be helpful in pts with HD or cor pulmonale
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Indication sfor cont O2 therapy?
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HCt > 56 % erythrocytosis
ECG + for cor pulmonale CHF resting arterial O 2 pressure 55 or O 2 sat under 88% evaluate pts on cont q 6 wks O2 |
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Mortality:
FEV1 <0.75 L? |
30% at 2 yrs
95% 10 yrs after diagnosis |