Kettering Clinical Simulation Pathology 100% correct answers already graded A+

COPD: 2 Types Emphysema Chronic Bronchitis Emphysema Characteristics: Pink Puffers Body: Thin, underweight, barrel Chest Respiratory: Pursed-lip breathing and Hyperresonant/tympanic breath sounds Decreased DLCO Emphysema Treatments: 24-28% O2 Bronchodilators: SABA, LABA, Anticholinergic Corticosteriods Bronchial hygiene NPPV Flu Vaccine Chronic Bronchitis Blue Bloater Build: Stocky, overweight Productive sputum and Rhonchi, crackles, wheezing Use of accessory muscles Cyanotic Digital clubbing Chronic Bronchitis Treatment Same as Emphysema 24-28% O2 Bronchodilators: SABA, LABA, Anticholinergic Corticosteriods Bronchial hygiene NPPV Flu Vaccine Bronchiectasis Special Diagnostic Tests CT Scan Bronchiectasis Treatment Bronchopulmonary hygiene Lung expansion therapy Antibiotics Expectorants Sympathomimetic and Parasympatholytic agents Surgical Sleep Disorder Special Tests Polysomnography Chest Trauma/Flail Chest/Rib Fracture Treatment Analgesics Hyperinflation therapy Surgical Bronchopulmonary Hygiene Pneumonia Prevention Pneumothorax Treatment Less than 20% = bed rest and limited activity. Over 20% = Chest Tube Needle aspiration if unstable Hyperinflation Therapy Hemothorax Treatment Thoracentesis or chest tube Hyperinflation therapy Thermal Injury Special Tests COHB levels via co-oximetry Thermal Injury Treatment Immediate airway assessment and cardiovascular status. 100% O2 Hyperbaric Therapy IV Line Isolation Room ABG, Electrolytes and fluid monitoring Bronchoscope Pulmonary Hygiene Hyperinflation therapy Bronchodilators, mucolytics and anti-inflammatory drugs. ARDS Special Tests Hemodynamic Monitoring for elevanted PAP w/ normal PCWP ARDS Treatment Monitor Hemodynamics Hyperinflation Therapy ARDSNet Protocol: vT 6 mL/kg, Plat Press 30, Recruitment Maneuver IRV, APRV, PRVC, HFV modes Permessive Hypercapnia Prone Positioning Myasthenia Gravis Special Tests Tensilon Edrophonium Challenge Electromyography Blood Test for ACH receptor antibodies Ice Pack Test Myasthenia Gravis Treatment Monitor Vt, VC, MIP Bedrest/soft diet Hyperinflation Therapy Pulmonary Hygiene Corticosteroids Thymectomy Plasmapheresis Guillain-Barre Syndrome Special Tests Lumbar puncture: High protein in CSF 500 Abnormal electromyograph Elevated IgM levels Guillain-Barre Syndrome Treatment Monitor Vt, VC, and MIP Hyperinflation Therapy Pulmonary Hygiene Plasmapheresis severe cases Anti-coagulation therapy Physical Therapy Corticosteroids Drug Overdose Treatment Intubate Narcotic OD = Narcan Acetaminophen OD = Acetylcysteine Stroke/Cerebral Infarction/Cerebrovascular Accident/Transient Ischemic Attack Special Tests CT/MRI of brain Cerebral Angiogram Stroke/Cerebral Infarction/Cerebrovascular Accident/Transient Ischemic Attack Treatments Within 6 hours Anticoagulation Therapy Vasodilators Thrombolytic Therapy For Ischemic Stroke Chest Pain/Myocardial Infarction Cardiac Enzymes (CPK, LDH, SGOT) Troponin Levels Chest Pain/Myocardial Infarction Treatment Immediate Oxygen 100% Monitor Vitals Drugs: Aspirin, Amiodarone, Procainamide, atropine, Nitrates, Dopamine Congestive Heart Failure/Pulmonary Edema Special Tests Elevated BNP with CHF CHF/ Pulmonary Edema Treatment 100% O2 IPPB Drugs: 1. Diuretics: Furosemide, Bumetanide, Spironolactone. 2. + Inotropics: Digitalis, Digoxin, Dopamine, amiodarone. 3. Morphine 4. Nitro drugs and ace inhibitors Cor Pulmonale Treatment O2