Vt formula - Answers M: 50+2.3(in-60)
F45.5+2.3(in-60)
COPD aka - Answers Emphysema or chronic bronchitis
Characteristics of COPD - Answers "tripoding"; SOB; accessory muscle use
COPD Decision/ TX - Answers Low flow SpO2 (88-92%)
Bronchodilator (alb)
Bronchial Hygiene
Inhaled corticosteroids (fluticasone)
antibiotics if needed (sputum)
smoking cessation
Pulm rehab
monitor fluid
Consider NPPV for acute issues
pulsus paradoxus during SEVERE episode means: - Answers Asthma
Special test for asthma - Answers PFT/spirometry: reduced flow
Post Bronchodilator Spirometry (if FEV1 increases at least 12% and 200mL)
Methacholine Test FEV1 decreases >20%
Asthma Decision/TX - Answers Acute:
O2 therapy
SABA w anticholinergic (cont. therapy)
Corticosteroid (oral or IV)
Long term:
Eliminate triggers
, LABA
Inhaled corticosteroid
Mast Cell Stabilizer
Leukotriene inhibitor
peak flow monitoring
Vent Failure or respiratory arrect occurs:
Intubate
Heliox
Magnesium Sulfate
Subcutaneous epi
Bronchiectasis Def - Answers Chronic dilation of bronchial causing inflammation or copious amounts of
secretions
Purulent foul smelling secretions means - Answers Bronchiectasis
Special Test for dx bronchiectasis - Answers sputum culture
Imaging studies: bronchography or CT
Bronchiectasis Decision/Tx - Answers O2 therapy
bronchopulmonary hygiene
lung expansion therapy
antibiotics for acute infection
expectorants
SABA w anticholinergic
surgical resection of involved portion
Staphylococcus aureus; haemophilius influenza; pseudomonas aeruginosa dx - Answers CF
Special Test for CF - Answers Sputum culture
Sweat chloride test (>60)