Doc750
transfer:step 3 prison
Topics: 52
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Inhaled SHORT acting B2 agonist, and IV corticosteroid for acute sx
long term: Inhaled low-med dose corticosteroids, and LONG acting B2 agonist; consider leukotriene inhibitor, or theophylline.
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Experience is a hard teacher because she gives the test first, and the lesson afterwards.
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| doyoudig
Forum Guru
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Inhaled Corticosteroids should be next in acute exacerbation if Pt is not responding well to B Agonist
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| starcraftbw
Forum Senior
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acute: inhaled steroid + IV steroid + albuterol
long term: inhaled steroid + long acting B-agonist + albuterol
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| doyoudig
Forum Guru
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I think this is a Kap Q's
26-year-old woman presents to the emergency department with progressive dyspnea after a soccer game the night before. Over the past few weeks, the patient admits to wheezing on a daily basis. She has increased the frequency of her inhaled albuterol and triamcinolone to two puffs every two to four hours, with minimal relief of her symptoms. She has never used systemic steroids or had to be intubated in the past. While in the emergency department, her peak flow increases from 150 to 180 L/min after three continuous, nebulized albuterol treatments. She appears distressed. She is sitting up in bed and reluctant to lie down. She is afebrile, with a pulse rate of 110/min and a blood pressure of 150/90 mm Hg. She is audibly wheezing. An arterial blood gas shows: pH 7.50, CO2 30 mm Hg, PaO2 76. What is the best treatment strategy?
(A) A long-acting -agonistīĸ
(B) Nebulized beta 2-agonist and intravenous corticosteroids
(C) beta 2-nebrulized agonist and oral theophylline
(D) beta 2 -Agonist metered dose inhaler and cromolyn sodium
(E) Epinephrine-based nebulizer and intubation
Ans: B
But if the naswer had Inhaled Cort steroids I would have picked that 1st before systemic
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| Doc750
transfer:step 3 prison
Topics: 52
Posts: 634
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my understanding was inhaled steroid use for chronic management, and for acute exacerbation they get IV steroids. Let a brotha know ....
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Experience is a hard teacher because she gives the test first, and the lesson afterwards.
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| starcraftbw
Forum Senior
Topics: 13
Posts: 166
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^^^thanks...... i over ROIDED my patient in acute situation haha
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| doyoudig
Forum Guru
Topics: 144
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thx star and everyone else u guys are right and I stand corrected....thx much
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| dr.roh
Forum Guru
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the answer for my question...is inhaled steroids are used next
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