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Cards In This Set
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Tactile fremitus increased
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Pneumonia
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Tactile fremitus decreased
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COPD
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Fever, anxiety, mechanical overventilation
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Causes respiratory alkalosis
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Copd, asthma, pneumonia
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Causes for respiratory acidosis
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DKA, renal failure
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Causes metabolic acidosis
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Prolonged vomiting, NG suctioning
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Causes metabolic alkalosis
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Low pH, elevated CO2
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Respiratory acidosis
If pH is low and CO2 is low= metabolic acidosisIf pH is low, CO2 low, HCo3 low= compensated metabolic acidosis CO2 should always be opposite pH otherwise it is metabolic, if all the same direction= compensated |
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What may cause drug induced asthma?
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ASA, BBlockers, ACEI
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Asthma: Daytime symptoms >2/wk but <1/day; nocturnal symptoms >2/month
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Mild persistent asthma
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Asthma: Daytime symptoms <2/wk nocturnal symptoms <2/month
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Intermittent asthma
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Continual daytime symptoms with limited physical activity and frequent exacerbation, frequent nocturnal symptoms
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Severe persistent asthma
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Increased AP chest diameter, decreased tactile fremitus, hyperesonance on percussion, decreased breath sounds
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COPD
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When to use spirometry in COPD patients
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-All smokers >45 y/o with >10 Pack Hx-Anyone with chronic cough, DOE, mucus Hypersecretion, or wheezing
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Spirometry findings COPD patient
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FEV1/FVC that doesn't respond to bronchodilatorsIncreased residual volume (RV) and TLC
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Parenchymal bullae/blebs
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COPD
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