RESP asthma, CF, pulmonary htn, infections

recurring episodes of airway obstruction

wheezing, chest tightness, cough, increased expiration

low ox, decreased res effort, low LOC, tachycardia

mucus secretion, bronchospasm, inflammation

female, smoking, SGA, diet, infections, exercise, sulfur oxide, pollution/allergen

hyperventilation leads to RESP ALKALOSIS that eventually goes to RESP ACIDOSIS

spirometry measures how fast air comes out of lungs, it is usually decreased by 50%

inhaled Beta2 agonists (albuterol xopenex)
anticholinergics (atrovent)

Mg sulfate, Singuilar, epi, theophylline, terbutaline

corticosteroids (inhaled) and severent

protein in charge of transporting chloride is dysfunctional which makes mucus thick, sticky

lungs and GI (pancreas, liver, salivary glands), and testes

pneumothorax, arterial erosion, hemorrhage, ARF

80% die from ARF

enteral nutrition for enzymes, mucolytics, chest physiotherapy, and antibx in acute infections

acute inflammation caused my infectious agent leading to alveolar consolidation leading to immune system being overwhelmed in lower lobes

Community acquired, ventilator acquired, HAP/HCAP, Immunocomprimised, Aspiration

intubation, NG tube, old age, smoking, COPD, anesthesia, trauma, HF, metabolic acidosis, ETOH use, alterations in breathing

CXR shows consolidation, sputum specimen, lung assessment: crackles, rhonci, wheezing

low ox, tachycardia, pyrexia, dehydration, productive cough, altered LOC

not likely to lead to pneumonia

likely to lead to pneumonia

antibx and bronchodilators

infection caused by myobacterium tuberculosis a rod shaped microorganism

droplet, n95, negative pressure room, notify health department

immunocompromised, HIV, AIDS, poverty, crowded living

Quantiferon gold blood test, skin/mantoux test, chest xray

Bacille Calmette Guerin Vaccine

isolates colonies (tubercules) and surrounds them in scar tissue

-educate on SE of MED
-let them know importance of finishing cycle to prevent strains
-watch for liver toxicity
-RFP and INH are given for 11 months
-PZA are given for 2 mo

Rifampicin, Pyrazinamide, Isoniazid

liver enzymes, platelets, uric acid

daily

ethambutol

neuropathy, GI issues, thrombocytopenia, joint pain

night sweats, weight loss, fever, coughing

narrowing of blood vessels in lungs resulting in MAP > 25 in lungs

right heart catheter

heart disease, portal htn, HIV infection, pregnancy, drugs, COPD

calcium channel blockers, Prostacylin Vasodilator, Phosphodietase, ERA's, and LUNG TRANSPLANT

nifedepine, ditiazem, amlodipine

ambrisentan

viagra

-flolan

watch for hypotension

avoid nitrates due to hypotension

very effective, short half life (2-3min)

fatigue, JVD, edema