Exam (elaborations)
CSE REVIEW FOR RESPIRATORY QUESTIONS AND ANSWERS 2024
- Course
- Institution
CSE REVIEW FOR RESPIRATORY QUESTIONS AND ANSWERS 2024
[Show more]
Content preview
CSE REVIEW FOR RESPIRATORYWhen to use dopamine? - ANSWERS-62 y/o has shortess of breath, shoulder pain,
ST depression with T wave inversion already has had nitroglycerin.
BP 80/40 ----> give dopamine instead of atropine
pt becomes unresponsive ----> defibrillate
bradycardia patient - ANSWERS-give two doses of atropine if no change happens -
--> place transcutaneous pacemaker
12 year old with asthma - ANSWERS-go over action plan, observe how they take
meds, ask parents not to smoke in the room with child and go outside (smoking
cessation for parents?)
post-op jaw (mandible) surgery - ANSWERS-EKG shows PVC's ---> nasal intubation,
mouth wired shut after surgery
-evaluate for extubation
-MIP -18, RSBI 119, BP 90/60, PVC's
-add PS ventilation
PEEP - ANSWERS-Watch increasing PEEP too much if hemodynamic numbers are
low (BP,Cardiac output etc)
,Intermittent Asthma - ANSWERS-Symptoms or SABA use < 2 days/week
Mild persistent Asthma - ANSWERS-Symptoms or SABA use > 2 days/week but
NOT daily
Moderate persistent Asthma - ANSWERS-Symptoms or SABA use DAILY
Severe persistent Asthma - ANSWERS-Symptoms or SABA use throughout the day,
more than once per day
Intermittent/Step 1: - ANSWERS-SABA rescue inhaler (Albuterol)
Mild persistent/ Step 2: - ANSWERS-SABA & low dose steroid (ICS- budesonide or
fluticasone)
Moderate persistent/Step 3: - ANSWERS-SABA & medium dose steroid
Severe persistent/Step 4: - ANSWERS-SABA & medium dose steroid & LABA (can
use combination steroid/LABA (Advair- fluticasone/salmeterol) or Symbicort
(budesonide/formoterol)
Leukotriene Modifiers (Singular) - ANSWERS-If still not controlled with SABA/
medium dose steroid / LABA, especially for allergic asthma
,FEV1 >80% - ANSWERS-Mild (Gold 1)
FEV1 50-79% - ANSWERS-Moderate (Gold 2)
FEV1 30-49% - ANSWERS-Severe (Gold 3)
FEV1 <29% - ANSWERS-Very Severe (Gold 4)
Step 1 (Group A) - ANSWERS-SABA (Albuterol) &/or SAMA (ipatroupium) can use
combo DuoNeb
Step 2: (Group B) - ANSWERS-Add LABA or LAMA
Step 3: (Group C) - ANSWERS-Add ICS w/ LABA or LAMA
Step 4: (Group D) - ANSWERS-Add ICS w/ LABA & LAMA (triple therapy )
SABA - ANSWERS-Albuterol
Levalbuterol (Xopenex)
Pirbuterol
SABA/SAMA - ANSWERS-DuoNeb/ albuterol & ipratropium
, LABA - ANSWERS-Salmeterol
Formoterol
Arformoterol (Brovana)
ICS/LABA - ANSWERS-Fluticsone / Salmeterol (Advair)
Budesonide/Formoterol (Symbicort)
ICS - ANSWERS-Fluticasone (Flovent)
Budesonide (Pulmicort)
Momestasone (Asmanex)
Beclomethasone (QVAR)
Pick if: High WBC, fever, purulent secretions - ANSWERS-Sputum culture
Urine culture
Urinalysis
Blood culture
Pick if: drug overdose/head injury - ANSWERS-Pupillary response
Pick if: bleeding (hemoptysis), particulate matter, carbonus materials (aspirated) -
ANSWERS-Bronchoscopy
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Teacher101. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
76800 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now