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58 yo. M presents to ED with complaints of dry cough. CXR revealed generalized,
inflamed film throughout. What is the most likely diagnosis? - 🧠 ANSWER
✔✔Pneumonitis
What drug has been known to prevent nosocomial PNA? - 🧠 ANSWER
✔✔Sulcarafate (Carafate) - Mucosal Protective Agent
What is an initial finding associated with a pulmonary embolism? - 🧠 ANSWER
✔✔Respiratory Alkalosis - secondary to increased RR and blowing off CO2
What is diagnostic of pulmonary HTN? - 🧠 ANSWER ✔✔2D echo
Your patient is intubated on the following settings: SIMV/FiO2 .6/PEEP 5. You
notice shunting. What should your next action be? - 🧠 ANSWER ✔✔Increase
,PEEP from 5 to 10 to recruit alveoli and increase surface area to improve
oxygenation
32 yo. M with PMH significant for mitral valve replacement now complains of
wheezing during physical activity 2-3 times/week. What should you do next? - 🧠
ANSWER ✔✔Send patient for pulmonary function testing.
What is the pathology of asthma? - 🧠 ANSWER ✔✔Increased
responsiveness/hyperresponsiveness of the trachea and bronchi to a stimuli.
Acute inflammation
Narrowing of airways
Hypertrophy of smooth muscle
Mucosal plugging of airways
What are the hallmark signs and symptoms of asthma? - 🧠 ANSWER
✔✔Respiratory distress at rest
Difficulty speaking in sentences
RR > 28
Pulsus paradoxus > 12 mmHg
, What PFT value is suggestive of an obstructive disease? - 🧠 ANSWER
✔✔Decreased FEV1
Which acid-base imbalance is associated with asthma? - 🧠 ANSWER
✔✔Respiratory Alkalosis with mild hypoxemia
What PFT values would indicate hospitalization of an asthmatic patient? - 🧠
ANSWER ✔✔Decreased FEV1 <30% predicted OR
does not increase to at least 40% predicted after 1 hr.
Peak flow is <60 L/min initially OR does not increase to >50% predicted after 1 hr
tx
What are the ominous findings associated with an asthma exacerbation? - 🧠
ANSWER ✔✔Extreme fatigue
Lethargy
ABG - hypercapnea >pCO2 >45 mmHg = EMERGENCY
What is the outpatient daily management drug for asthma? - 🧠 ANSWER
✔✔Inhaled Corticosteroids - Budesonide (Pulmicort)
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