Term
| The lower the FEV1 the . . . |
|
Definition
| more difficulty one had breathing |
|
|
Term
| To diagnose airway obstruction, one must haved a normal or increased _______ and a decreased _______ |
|
Definition
|
|
Term
| The PEAK EXPIRATORY FLOW RATE in obstructive disease will be . . . |
|
Definition
|
|
Term
| The PEAK EXPIRATORY FLOW RATE in restrictive disease will be . . . |
|
Definition
|
|
Term
| The TLC in restictive lung disesae is . . . |
|
Definition
|
|
Term
| IF a peak expiratory flow rate is less than < 350 ml/min, one should perform . . . |
|
Definition
| PFT to evaluate for OBSTRUCTIVE disease |
|
|
Term
| A CXR in COPD will reveal hyperinflated lungs, flattened diaphragms, enlarged retrosternal space, and _________ |
|
Definition
| diminished vascular markings |
|
|
Term
| What is the acid base picture in COPD? |
|
Definition
respiratory ACIDOSIS
metabolic ALKALOSIS (compensation) |
|
|
Term
| What is monitored in a pt with COPD? |
|
Definition
1. serial FEV1 measurements - this has the highest predictive value
2. Pulse Ox
3. Exercise tolerance |
|
|
Term
| What are the only two interventions that have been shown to lower mortality in COPD? |
|
Definition
1. Home oxygen
2. Smoking cessation |
|
|
Term
| What is the definition of RV (Residual Volume) |
|
Definition
| air in the lung after maximal expiration; CANNOT be measured on spirometry |
|
|
Term
What is the definition of ERV?
(Expiratory reserve volume) |
|
Definition
| air that can still be breathed out after normal expiration |
|
|
Term
| Paradoxic movement of the abdomen and diaphragm on inspiration during an asthma attack is concerning for . . . |
|
Definition
| impending respiratory failure |
|
|
Term
| When is an airway obstruction considered reversible? |
|
Definition
| when bronchodilator results in an increase in FEV1 and FVC by 12% |
|
|
Term
| If a pt is having an acute asthma attack what will the PCO2 look like? |
|
Definition
|
|
Term
| What does it mean if PCO2 starts to normalize during an acute asthma attack? |
|
Definition
impending respiratory failure
(consider intubation) |
|
|
Term
| What tests are important to consider during an acute asthma attack? |
|
Definition
1. PEF - decreased
2. ABG - increased A-a gradient
3. CXR - r/o pneumonia, pneumothorax |
|
|
Term
True or False:
A Metered Dose Inhaler (MDI) is just as effective as a Nebulizer? |
|
Definition
| TRUE! - (although pts may report greater efficacy than the nebulizer, because of the nebulizer delivers more medication) |
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|
Term
| Aspirin sensitive asthma should be considered in pts with asthma and _________ |
|
Definition
|
|
Term
| What is the most common cause of bronchiectasis? |
|
Definition
|
|
Term
| What is the study of choice to diagnose bronchiectasis? |
|
Definition
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