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Related Flashcards
Cards In This Set
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Asthma triggers
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URIenvironmental inhalationexercise
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Chest tightnesscoughdyspneawheezingcracklesincreased RR
retractions |
S/S of Asthma
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Pulseless Paradoxus
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Decreased HR on inspiration, increased HR with exhalationpresent in asthma
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Peak flow meter values
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<40% is severe40-60% is moderate70-90% , use inhaler
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Stop nebulizer if
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HR increases by 20bpm
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Asthma teaching
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Wash bedding in hot waterstay inside with AC during early AM and midday
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Short acting beta agonists for asthma Mechanism =SE =Examples =
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Mechanism= bronchodilationSE = increased HRExamples = Epinepherine, racemic epiAlbuterolSalmeterolLevabuterol
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Anticholenergics for asthma Mechanism=Examples = SE =
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Limits mucous secretionInhibits bronchial smooth muscle contractionSE = increased HRdry mouthblurred visionpupil dilation Atrovent / Ipratopium
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Corticosteroids for asthma Mechanism=Examples =
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Anti-inflammatory in airway, inhibits mucous production SolumederolDexamethasonePednesoneMethylprednesolone
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SOBincreased HRincreased RR
coughdiaphoresisfeverchest pain |
S/s Pulmonary embolism
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Labs for Pulmonary embolism
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+ D-dimerBNPincreased ESR
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Difinitive DX for PE
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V/Q scan
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Treatment for PE
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O2AnticoagulantsVasopressorsFibrinolytics/ThrombolyticsIV fluids
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Wells score
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Critera for liklihood of PE6 is high, 3 is moderate 3 - DVT symptoms3 - PE is # Dx1.5 - HR >1001.5 - immobilization or surgery in past 4 weeks1.5 - Hx of PE1 - Hemophysis1 - Malignancies
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PERC - Pulmonary embolism rule out criteria
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Pretest probability so no further testing is required No hormone use, <50 y/oNo DVT / PE HxNo couhing bloodNo unilateral LE swellingNo SpO2 <95%No surgery or trauma within 28 days
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