Exam (elaborations)
CSE REVIEW FOR RESPIRATORY QUESTIONS AND ANSWERS 2024
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CSE REVIEW FOR RESPIRATORY QUESTIONS AND ANSWERS 2024
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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
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