Notes

50 multiple choice questions
Short Answer Essay portion - separate
You'll have whole time to take the mid term
If you need to take a break/Go to the restroom it'll be fine just don't take 20 minutes
Or you can work straight through if you like
Things you need to know:
Everything on the Study Guide
Asthma- Pre and post breathing treatment, what would you expect to see in the PEF? How much change are we looking for?
Blood gas results, what you would anticipate seeing
you should be able to determine if pt is having a COPD exacerbation versus an Asthma exacerbation
BODE index for COPD
Mast Cells- Mast Cell Degranulation
How do we know for Asthmatics what medications we need versus others?
Demographics for RSV?
Anatomic Alterations in the lungs for RSV
What structural changes in the lung associated with RSV?
ARDS- Berlin Definition!
Sputum Samples- what types of disease produce what kinds of sputum? Bronchiectasis for example, how would you desscribe? Compared to Asthmatic or Chronic Bronchitis?
KyphoScoliosis- Review thatttt
Someones in Pulmonary Edema, what type of therapy would you reccomend for them?
Going back to Cystic Fibrosis, who's a carrier? who gets it? (Punnet square)
What kind of Breath sounds go with CHF? What kind of Breath sounds go with Pulmonary Edema?
Switching back to ARDS- you should know your common findings for ARDS
Know your O2 indicies for ARDS
Cystic Fibrosis, how do we treat it? What medications do we use?
You should know your PFT's for Obstructive Lung diseases, including your DLCO's
What O2 device would you use for a pt that's a CO2 retainer?
How do you confirm Myasthenia Gravis?
Ventilator Treatments for ARDS? What settings would you use?
Interstitial Lung Diseases- DIP and UIP?????? on your pneumonias. and what they're associated with, and breath sounds as well
Kyphoscoliosis- know your terminology- What is Kyphosis? What is Scoliosis? What is Kyphoscoliosis? who's at risk?
ARDS- Know your direct and Indirect causes
Guillian Barre- How do we treat it? What's the best treatment for it? How do we know if the pt is in acute ventilatory failure?
What are some non cardiopulmonary manifestations for Guillain Barre?
Myasthenia Gravis Signs and Symptoms
Back to ILD's Review HyperSensitivity Pneumonitis
What clinical manifestations are associated with Severe Cystic Fibrosis?
You should know medications that can CAUSE Interstitial Lung Diseases! (ILD'S)
You should know Parameters for Guillain Barre - Treatment as far as we talked about the 20-30-40 rule. What's our intervention going to be?
You should know causes of Cardiogenic pulmonary Edema AND Non Cardiogenic Pulmonary Edema
Review Sarcoidosis too
THAT'S THE MULTIPLE CHOICE
Essays------
2 Clinical Scenarios ----
1 will be an obstructive disease- You need to tell me what obstructive disease it is. You need to be specific you can't just say "COPD" and you need to be able to validate your diagnosis. Signs and Symptoms, Vital Signs, CXR, ABG's, it could be what you were given but you can also REQUEST tests, IMPORTANT- What therapy would you reccomend?
2nd one- you will have to determine if your pt has ARDS or CHF and she wants you to compare and contrast if it's ARDS or CHF - she'll be giving a table to do the compare and contrast.
CXR- CHF- CardioMegaly - Not Ground Glass - Pleural Effusion
CXR-ARDS- Cardio Hella Regular - Ground Glass
Pulmonary Capillary Wedge Pressure magic number?
Which one has increased proteins? ARDS
How are they alike?
You need to be able to - for your COPD pt - You need to be able to create a plan of Care for you pt that is long term as well as while they're in the hospital - they may need O2 at home? May need medications at home? Go over the entire getting to hospital, what you'd see, soap assessment, tx at hospital, education, tx at home