What is included in the GOLD assessment and what is it used for?- (Sigs Case 6.6a)
Classification of COPD based on FEV1% of predicted value; determine severity of expiratory airflow obstruction for classification/prognosis/interventions
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15
What is the pathogenesis of interstitial lung disease?(Sigs Case 6.6b)
What are the challenges with treating Klebsiella pneumoniae? (Sigs Case 6.5b)
facultative anaerobe (can be w/wout oxygen); resistant to ampicillin; spread from lungs = dangerous superbug; Community + Hospital acquired
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15
What are the risks and benefits of LABAs and LAMAs for treating COPD? (Sigs Case 6.6a)
LABA-deathly asthma attack when used w/out steroid = B2-adrenoceptor decrease; LAMA-arrhythmia; increased CV risk
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15
Describe how cor pulmonale can result in right-sided heart failure. (SIGS 6.4b)
cor pul.->RV work harder->enlargement & thickening of RV (remodeling)-> contraction decreased-> conduction path stretched-> V. arrhythmia-> Vfib-> RHF
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trap
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seesaw
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fairy
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lifesaver
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15
What are the elements of the CURB-65 Scale and what is it used for? (SIGS 6.5b)
Confusion, BUN, RR, BP, age >65; criteria for inpatient vs. outpatient vs. ICU treatment of CAP
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15
Contrast the risk factors, clinical presentation, evaluation, and complications of viral and bacterial upper respiratory infections (URIs). (SIGS 6.5b)
