Term
| assoc w/ DECR TV, normal regular resp rhythm, with a sigh |
|
Definition
|
|
Term
| rapid lg-volume breathing -->intense stim of resp. center (met. acidosis) |
|
Definition
|
|
Term
| rhythmic waxing and waning of rate and TV, with regular periods of apnea |
|
Definition
|
|
Term
| when would you expect to see cheyne stokes breathing |
|
Definition
end stage LV failure
neurologic dz
normal person in high alt or during sleep |
|
|
Term
| at rest, the use of access. mm = |
|
Definition
| significant pulmonary impairment |
|
|
Term
| normal lung sounds over the periphery; rustling during inspiration, fades during expiration |
|
Definition
|
|
Term
| normal sounds over suprasternal notch; louder, higher pitched and louder on expiration |
|
Definition
|
|
Term
| bronchial lung sounds over the periphery are abn abn. and indicate |
|
Definition
|
|
Term
| globally diminished lung sounds predict |
|
Definition
|
|
Term
decr in FEV1:FVC
decr in airflow rate |
|
Definition
obstxn
(asthma, COPD, ect) |
|
|
Term
normal to incr FEV1:FVC
decr in lung vol |
|
Definition
restrictive dysfxn
(pulm fibrosis, diaphragm dysfxn, ect) |
|
|
Term
| test to aid in suspiction of asthma when baseline spirometry is normal + unexplained cough |
|
Definition
|
|
Term
| incr. resp effort contribute, magnified by incr resp. drive, acute hypercapnia is stimulus |
|
Definition
|
|
Term
| rapid onset of dyspnea when supine suggests |
|
Definition
|
|
Term
follows URI, if persistent (underlying asthma),
< 3 weeks |
|
Definition
|
|
Term
most common cause of chronic cough
> 8 weeks |
|
Definition
| low grade chronic bronchitis secondary to smoke |
|
|
Term
| uncontrollable hemorrhage from hemoptysis warrants |
|
Definition
| RIGID bronchoscopy and surgery consult |
|
|
Term
| to localize sites of bleeding in STABLE pts w/ hemoptysis use |
|
Definition
|
|
Term
| episodic wheezing, SOA, chest tightness, prolonged expiration and cough. |
|
Definition
|
|
Term
| establish flow variability, quantify severity of asthma, and provide measurements for tx |
|
Definition
| peak expiratory flow (PEF) |
|
|
Term
| daily anti-inflamm tx for asthma with |
|
Definition
|
|
Term
| quick relief meds for reversal of obsxn in asthma |
|
Definition
| B-agonists, anthicholinergics, and oral steriods |
|
|
Term
| long-term control for asthma |
|
Definition
| steroids, long acting bronchodilators, leukotriene mods, desensitiztion |
|
|
Term
| when should spirometry be performed on a pt w/ asthma |
|
Definition
initially, then q 1-2 yrs
f/u q 6 mos for med reevals |
|
|
Term
| chronic cough and sputum production is seen in |
|
Definition
| chronic bronchitis (COPD) |
|
|
Term
| dyspnea is seen in what type of COPD |
|
Definition
|
|
Term
| clinically defined as excessive secretion of bronchial mucus and daily productive cough > 3 mos for at least 2 consecutive yrs |
|
Definition
|
|
Term
| pathological dz that shows permanent enlargement of air spaces DISTAL to term bronchials + destruction of walls w/o fibrosis |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| parenchymal bullae are diagnostic of |
|
Definition
|
|
Term
| most important agent in the mngmt of COPD |
|
Definition
|
|
Term
| for acute exacerbations of COPD |
|
Definition
|
|
Term
|
Definition
| s. pneumo, h flu, mycoplasm, viral |
|
|
Term
|
Definition
| macrolides, doxycicline, florquinolones |
|
|
Term
|
Definition
P. aerginosa, s. aureus, enterobacter, klebsiella,
e. coli |
|
|
Term
| 2nd most common cause of hospital acquired infxn |
|
Definition
|
|
Term
|
Definition
| EMPIRICALLY --> tailor to labs |
|
|
Term
| Anaerobic Pnuemo and lunb abcess occur most commonly in these types of pts |
|
Definition
| depressed consciousness, impaired glutition, trach/NG tubes |
|
|
Term
| foul smelling sputum indicates |
|
Definition
|
|
Term
| labs for anaerobic pnuemo/lung abscess |
|
Definition
|
|
Term
| thick solitary cavity surrounded by consolidation |
|
Definition
|
|
Term
| mult areas of cavitation w/i area of consolidation |
|
Definition
|
|
Term
| TX of anaerobic pnuemo/abscess |
|
Definition
|
|
