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Pulm 6 (Pleural dz)
Step-2
| Question | Answer |
|---|---|
| What are the Ws of post-op fever? | water(UTI), walking(DVT), wound, wonder drugs(abx), wind(pneumonia), wein(thrombophlebitis), and sinusitis |
| Which type of lung CA is associated with hypercalcemia? | squamous cell |
| A pt presents to the ER after an MVA with HTN, bradycardia, and abnormal respirations. After ABCs, what is the next step in the management? | Cushings triad(increased ICP). Next step is to raise the HOB, hyperventilate, mannitol, consult neurosurgery |
| What study can help you determine whether pleural effusion is locuated or free-flowing in the thorax? | upright CXR and lateral decubitus CXR |
| A pt. presents to the ER in respiratory distress following a MVA. CXR shows pleural effusion. What is the next step in the management of this patient? | place a chest tube. |
| What might cause a transudative pleural effusion? | CHF, cirrhosis, nephrotic syndrome |
| What size PTX requires a chest tube placement? | >15% |
| PCWP <18mmhg suggests _________. | ARDS |
| What are the common causes of PTX? | A CHEST IN: Asthma, CF, HIV, Emphysema, Spontaneous, Trauma, Iatrogenic, Neoplasm |
| What is the tx for obstructive sleep apnea? | weight loss for overweight, avoidance of ETOH, CPAP, oral appliance to protrude the mandible forward or prevent posterior tongue displacement. If excessive daytime sleepiness give modafinil. Surgical options also exist. |
| A lung cancer pt is re-admitted to the hospital for dyspnea. He is found to have reaccumulation of his pleural effusion. What do you expect the pleural-to-serum protein and LDH ratios form the thoracentesis to be? | P:S protein >0.5, P:S LDH >0.6 (SU table 2-13, page 49) |
| A lung cancer pt is re-admitted to the hospital for dyspnea. He is found to have reaccumulation of his pleural effusion. What do you expect the pleural fluids protein content to be? | pleural fluid protein >3g/dL (SU table 2-13, page 49) |
| What medication is used prior to intubation in head injury patients? | lidocaine |
| What substance should be avoided in pts with obstructive sleep apnea? | sedatives (BDZ, ETOH, antihistamines) |
| What anatomic locations are options for immediate needle decompression of a tension PTX? | 2nd/3rd ICS in midclavicular line and 4th/5th ICS in Midaxillary line |
Created by:
shelybel
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