Summary
Samenvatting alle behandelingen van onderdeel pneumologie
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alle behandelingen van onderdeel pneumologie
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!!! vaccinaties > pneumokok, covid, griepAstma ICS + formoterol (reliever en onderhoud)
ICS + SABA (reliever) en ICS + LABA (onderhoud) Max effect pas na 2-
GINA 6w!!
Ev + kortwerkende anticholinergica
Ev + leukotrienen (montelukast)
Ev + anti- IgE, IL5, IL5R
Astma exacerbatie SABA: salbutamol
Opdrijven onderhoud ICS + LABA
PO cortico (methylprednisolone 32 mg max 5d )
Zuurstof (sat > 93-95%)
COPD Groep B: LAMA of LAMA + LABA
Groep E: LABA + ICS of LAMA + LABA + ICS
GOLD Ev macroliden
Ev fosfodiesterase 4 inhibitor
Ev mucolytica
COPD exacerbatie SABA of SAMA
PO cortico (methylprednisolone 32 mg max 5d)
Anthonissen criteria Zuurstof (sat > 90-92%): NIPPV
Ademhalingskine
Vaccin > apexxnar, griep, covid, RSV
Acuut: amoxiclav 3x 1g of moxifloxacine 1x 400g PO 5d
Recidiverend: azythromycine (anti-inflam) chronisch uitsluiten niet-
tbc mycobacterien en QTc verlenging
longCA Stadium I: chirurgie + chemo
Stadium II: chirurgie + chemo
Stadium III: multimodaal (chemo + radio + immuno) of chemo + chiru
Stadium IV: palliatie, soms immuno of target
Interstitiele Niet farmaco:
longziekte (ILD) - zuurstoftherapie
- psychosociale ondersteuning, rehabilitatie
- rookstop
- soms palliatie
Idiopathische Pirfenidone > ontstekingsremmend
longfibrose Nintedanib > tyrosine kinase
Sarcoidose Stadium I: NSAID
Stadium II of III: cortico PO
Stadium IV: niets
Extrapulmonale aantasting: cortico PO
Of methotrexaat, azathioprine, anti-TNF
Chronische Antigen weg
hypersensitieve Cortico
pneumonitis
Auto-immune Cortico PO
interstitiele Sclerodermie -> GEEN cortico!!!
longziekte
Bronchiectasie Ademkine: zelfdrainage
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