Term
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Definition
1) COPD exacerbation--usually caused by infection
2) Heart failure--Chronic hypoxia causes pulm vasoconstriction-->right heart failure |
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Term
| Distinguishing CHF from COPD |
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Definition
-S3, diffuse PMI, periph edema, elev JVP
-Parox nocturnal dyspnea is most closely assoc w CHF |
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Term
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Definition
| inc AP diameter, wheezing, decreased diaphragmatic excursion, prolonged expiratory phase, dyspnea on exertion, insidious onset, smoking is a major risk factor |
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Term
| Pulm Embolism is associated with _________ sputum |
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Definition
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Term
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Definition
FEV1/FVC <.7=COPD
Mild FEV1 %>80
Moderate FEV1%: 50-80
Severe FEV1% <50
Very severe FEV1%<30 |
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Term
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Definition
1) Albuterol as needed
2) Anticholinergic or long-acting bronchodilator
3) if FEV1%<50, add inhaled glucocorticosteroid (+long acting beta2 agonist)
4) smoking cessation
5) Update Immunizations (influenza >50yo. pneumococcal>65yo) |
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Term
| When do you give antibiotics in COPD exacerbation? |
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Definition
have 3 symptoms: increased dyspnea, increased sputum volume, increased sputum purulence
if only 2, they must have inc purulence
or if they need mechanical ventilation |
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