Term
Hyperresconant to percussion
Inspiratory and expiratory diffuse wheezes
Increased E to I ratio |
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Definition
| Lung Exam symptoms of Asthma |
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Term
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Definition
| Cell found in CBC during asthma |
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Term
Children: common reason to miss school and most common chronic condition
400 DEATHS/year |
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Definition
| Asthma is great in children or adults? |
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Term
Cough (non productive)
wheezing
chest tightness
shortness of breath
Worse at night and early morning |
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Definition
| Physiological symptoms of asthma due to swelling, mucous, inflammation, and airway narrowing? |
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Term
1. inflammatory cells (esoinophils/neutrophils)
2. mucous gland and goblet cells
3. smooth |
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Definition
| Asthma is associated with infiltrating of ________cells, ___________hyperplasia, and _____________muscle mass |
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Term
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Definition
| Uncontrolled, long standing inflammation may lead to permanent structural changes called? |
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Term
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Definition
| muscles used to help breathing with asthma |
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Term
| nasal polyps, rhinitis, sinusitis |
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Definition
| Heent findings for asthma |
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Term
| 4...stepwise fashion of progression. |
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Definition
| How many classes are in the classification of asthma |
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Term
1. Control : chronic and nocturnal symptoms
2. Maintain: normal activities
3. Prevent
4. MInimize ER visitis, meds, and adverse med effects
5. Maintain pulmonary function |
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Definition
| Main Goals of Asthma Tx: (5) |
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Term
1. Corticosteroid: Beclomethasone, Budesonide, Flunisolide, fluticasone, momemetasone, tricinolone
2. Long acting B2 agonists: salmeterol, formoterol
3. Leukotrient Inhibitors: montelukast, zafirlukast, zileuton
4. Mast cell stabilizer: cromoyn/neducromil
5. Theophyline |
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Definition
| Medication for Asthma (5) |
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Term
Beta 2 agonist: inhaled albuterol
Other Treatments: O2, high dose inhaled corticosteroids, systemic steroids, antibiotic |
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Definition
| Patient with acute episodes of asthma and needs quick relief what do you give? |
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Term
A- airway tracheal deviation
B- evaluate hairline fractures in bones
C- Cardiac silhoette (>.5 thoracic diameter)
D- Diaphragms, look for free air, flattening of angles
E- every thing else in lung fields |
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Definition
| Reading CXR using ABCDE approach for asthma |
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Term
Previous events
Past intubation
low adherance to inhaled corticosteroids
Emergency room visits
Depression, anxiety, drug use, unemployment |
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Definition
| High risk for fatal asthma? |
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Term
| Peak Expiratory flow using Peak Flow Meter |
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Definition
| an inexpensive way to measure flow that patients can do at home, for use with patients with sever disease. Not diagnostic |
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Term
Allergens: dust, mold, animals, pollen
Pharmocologic agents: ASA, beta blocker
Physical: exercise, cold air
Physiological: GERD, stress, infection, rhinitis, sinusitis |
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Definition
| 4 main triggers of asthma: |
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Term
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Definition
| Sign is 80% sensitive for Mi, this is clenched fist held over the chest, used to describe ischemic chest pain |
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Term
DIAPHORESIS (sweat)
TACH
CYANOSIS (ASHEN COLOR)
also: JVD, S4, absent dorsalis pedis pulse, male |
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Definition
| Physical Exam Findings of acute coronary syndrome |
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Term
| Tombstones on EKG. J point elevation, widowmaker (LAD) distribution which is V2-4 |
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Definition
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Term
| Get guy to cath lab within an hour |
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Definition
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Term
1.ASA 162 mg
2.Fibrinolytic agents (TPA is preferred) also streptokinase, clot buster
3.Reperfusion therapy
4. Anticoagulants (Heparin) |
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Definition
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Term
| V fib or pulseless V tach (SHOCK) |
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Definition
| Most likely arrhythmia in sudden cardiac arrest for ACS |
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Term
| Angioplasty, balloon the artery and place coronary stent, should occur within 90 minutes of MI presentation |
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Definition
| What do they do in the Cath lab? |
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Term
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Definition
| Major factor to know about Acute MI: |
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Term
162 mg chewed and swallowed.
do NOT give enteric coated aspirin, won't be fast enough |
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Definition
| what ASA treatment should be given in ACS? |
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Term
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Definition
| EKG should be done within how many minutes |
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Term
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Definition
| Most sensitive auscultatory finding in a patient with ACS? |
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Term
|
Definition
| Common eponym for costochodritis? |
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