click below
click below
Normal Size Small Size show me how
elkington
cp
INR refers to | Blood coagulability |
---|---|
INR refers to | Blood coagulability |
INR in normal people / healthy people | 4 |
INR goal # | 2 - 4 |
INR target range in patients taking blood thinners | 2 - 4 |
bleeding risk is too high if INR is | > 4 |
clotting risk is to high if INR | < 2 |
NAC (N-acetyl cystine) especially useful for | lung conditions |
Isonizid is used to treat | TB |
a peak flow meter (PFM) can't detect what | Restricted lung volume |
to compare a patient PFM result to normal you don't need | pt weight |
obstructive lung disease | reduced air flow rate |
restrictive lung Dz | reduced FVC |
premature birth | before 37 weeks |
Asthma 'rescue meds' | SABA |
Bakis/Dicholtz study | study of HTN |
Atopic Dz = ______ Dz | Allergic |
positive mantoux test | exposed to TB & Induration (hardens) greater than or = to 10mm |
minimal period of antibiotics for treating TB | 6 months |
introduction of drugs in 1994, linked to tousands of asthma deaths | LABA |
healthy BMI | 19 - 25 |
hypotesion | no definition of to low of BP |
Bakris / dickholtz study adjusted what segment | C1 |
Asthma control test? | 5 items |
24 yr old w/ productive cough for 10 days, malaise, no fever in January | Bronchitis |
6 mo old w/ SOB, wheezes, crackles, temp=99 recebt cikd Sx | RSV (during winter/little kids/ airways are small so easily obstructed) |
research demonstrated it can reduce exercise induced asthma & inflammatory markers in blood | fish oil |
excess weight in males excess weight in females | waist > 40" waust > 35" |
murmur, valsalva is louder | pathologic murmur |
SABAs reduce this component of asthma oathophysiology | smooth mm contraction |
RSV | Bronchiolitis |
Alpha 1-antitrypsin defeciency | COPD |
surfactant deficiency | IRDS (infant respitory distress syndrome) |
Cor pulmonale c/b heart/ lungs | usually c/b COPD (heart Dz c/b lung Dz |
M/C/C of sudden death in high school sports | HCM hypertropic cardio Myelopathy |
M/C/C of death in COPD | pneumonia |
M/C/C of death in cystic fibrosis | pneumonia |
Apgar score declines as time passes | ERDS |
Alpha 1-antitrypsin produced where | Liver |
race linked Dz | Cystic fibrosis |
most pt in Bakis/Dickholtz recieved __ # adjustments | one |
most pt with asthmna will do better if you also treat them for | chronic subacute Sinusitis |
NOT hypertension (which one isn't | > 140/ >90 |
surface antigen of 1918 spanish flu virus | ? H1N1 ? |
Which finding indicates obstruction | FEV1 = < 70% of predicted |
which finding indicates restriction (dec lung volume) | FVC = 65% of predicted |
majority of lung clots that can kill you happen where | leg / thigh veins |
more likely in influenza that in pneumonia | low back ache |
annual flu vaccine in currently recommended for | all people over 6 month of age |
TB is most prevalent in | SE Asia & southern 2/3 of Africa |
predicted PFM 550L/Min measure = 510 L/min Conclusion | normal air flow (70% of predicted) |
predicted FVC = 4.8L measured FVC = 3.5 L Conclusion | normal flow |
use of oral contraceptives increase risk for lung clots by | increasing blood coaguability |
spontaneous pneumothorax happens in | Tall male |
Abnormal lipid level of LDL | LDL > 130 |
L : S ratio important in | IRDS |
pilocarpine iontophoresis (sweat test) | used to detect CF |
Flu vaccine is annual b/c virus is capable of rapid change via | Antigenic shift (sudden) (drift is slow) |
which typifies pneumonia | consolidation |
m/c bug causing pneumonia | Strep. Pneumoniae |
percussion over consolidated lungs is | Dull |
vocal fremitus over consolidated lungs | increased (sounds bc dull increase vibration caused by consolidation |
normal peripheral breath sounds | longer inspiration (hockey stick) |
lung sounds in asthma is | wheeze and prolonged expiration |
lung sounds are abnormal if extra sounds are present and if | ??? |
which spirometry measurement addresses useful lung volume | FVC |
pursed lips breathing | COPD |
blue bloaters | chronic bronchitis |
pink puffers | empysemia |
RSV in a 15 yo | cold symptoms |
40 yo male non-smoker w/ COPD | Alpha 1-antitrypsin defeciency |
NAC (N-acetyl cysteine) | treatment for lung Dz |
which 2 are prsent at the time of birth | IRDS, CF |
which 2 may lead to IRDS | maternal Diabettes & multiple fetuses |
pre-natal treatment to prepare 32 week fetus lungs for birth/ breathing | Corticosteriods |
overall 5 yr survival rate for lung CA | about 10% (closer to 13%) |
lung CA : which stage has best prognosis | stage 1 |
hyaline membrane Dz AKA | IRDS |
antiviral agent for treating high risk patient who has flu | Amantadine |
Increases in amniotic fluid near end of full term pregnancy | Lecithin |
Bakris/Dickholtz : Effects of an adjustment on BP lasted | 8 weeks |
all statin drugs are derivatives of this | Red Yeast Rice |
CPAP can cause (continous positive Airway Pressure) | Pneumothorax tx |
pilocarpine iontophorisis | CF diagnosis |
Pleurodesic | Pneumothorax tx |
sympathitics to lungs arise from | T1-5 |
pleuritic chest px (location) | Anterior, Lower, Lateral |
CF primary impact on these systems | Pulmonary (mucus in Lungs & GI (blockage of pancreatic enzymes (mal-absorption)) |
perfussion scans = diagnostic for | Pulmonary Embolism |
FEF25-75 is better than FEV1 to detect | mild asthma |
CF most common in | Caucasions (least common in Asians) |
overuse of SABA & LABA causes deterioration in asthma T/F | True |
Best way to measure dyspnea (SOB) | pt self rating on visual analog scale(1-10) |
best way to verify abnormal lung function | spirometer |
NOT part of care in pt w/ lung clot | Pleurodesis |
Pleurodesis tx for | Pneumothorax |
Harrisons Groove happens in | Rickets & childhood asthma |
Orthopnea occurs in all except | Influenza |