CSE DISEASE PROSSESS Q&A

CSE DISEASE PROSSESS Q&A Emphysema - ANS-VISUAL -cyanosis -barrel chest -accessory muscle use -digital clubbing BASIC LAB -chest x-ray (increased a-p diameter flattened diaphragm, hyperlucency, diminished pulmonary markings) -cbc: increase in wbc and rbc -abg -sputum culture DECISION MAKING -pulmonary rehab -bronchodilator -smoking cessation (if smoker) Chronic Bronchitis - ANS-VISUAL -cough, sputum BASIC LAB -chest x-ray (may be normal or show hyperlucency, diminished pulmonary markings) -cbc -abg SPECIAL ASSESSMENT -pft (flows decreased) DECISION MAKING -cpt -fluid therapy -bronchodilator -antibiotic tetracycline may be preferable Bronchiectasis - ANS-VISUAL -cough, often with blood -clubbing -hx of infections BASIC LAB -chest x-ray (generally normal) -sputum gram stain SPECIAL ASSESSMENT -bronchogram is the primary test DECISION MAKING -cpt -fluid therapy if dehydrated -oxygen -bronchodilator Asthma - ANS-VISUAL -Accessory muscle use -tachycardia BEDSIDE ASSESSMENT -dyspnea -wheezing -cough -wet, clammy skin BASIC LAB -abg -chest x-ray (hyperinflation) SPECIAL ASSESSMENT -pft DECISION MAKING -oxygen -bronchodilator -promote pulmonary hygiene -corticosteroid oral or iv Status Asthmaticus - ANS-VISUAL -historically non-responsive to bronchodilators -accessory muscle use -wheezing -cough -wet, clammy skin BEDSIDE ASSESSMENT -pulses paradoxus BASIC LAB -abg CONTINUES...