Pneumonia
COPD It
Don’t Be PEtty
Breath in, Breath Out
X-Rayted
We’re Not Taking This, Call the MICU
100
No CAP, but this is the most common cause of community-acquired pneumonia requiring hospitalization.
What is Streptococcus pneumoniae?
100
This is your first line of defense against a COPD exacerbation.
What are bronchodilators?
100
Most common symptom of a PE… Don’t overthink it
What is dyspnea?
100
This oxygen delivery device provides the highest FiO₂ among common ward devices.
What is a non-rebreather mask?
100
The image demonstrates the silhouette sign, obscuring the right heart border, which suggests that the pathology going on can be found in this part of the lung
What is the right middle lobe?
100
The patient looks septic and looks shocky… while we’re calling Dr. Schwartz and Co., let’s go ahead and start this, thankfully we don’t need central access.. yet
What is norepinephrine (Levophed)?
200
A positive urine antigen test is most commonly used to diagnose this atypical pneumonia pathogen
What is Legionella pneumophila infection?
200
This therapy reduces mortality in our COPD patients. Seems simple enough I guess
What is oxygen therapy (long-term)?
200
This is the most common ECG finding in a PE… again don’t overthink it.
What is sinus tachycardia?
200
Elevated PaCO₂ defines this type of respiratory failure
What is hypercapnic respiratory failure?
200
Blunting of the costophrenic angle(s) indicates
What are pleural effusions?
200
Some people are intolerant to a certain compound found in dairy products, but you can’t really be intolerant to this biomarker, especially when we need to trend it after we flooded all those fluids into the patient
What is lactate?
300
Sometimes patients develop a lung infection after you tried protecting the airway and lungs for a week. It be like that sometimes. This would be classified as this
What is a ventilator-associated pneumonia?
300
COPD patient has pH of 7.28 and a CO2 of 68 and needs this. Don’t worry, the VA ED is calling the MICU to admit because they gave this much needed intervention to help with respiratory and CO2 off-loading
What is non-invasive ventilation (i.e. BiPAP)
300
Everyone’s favorite test. It’s primarily used to exclude PE in appropriately selected low-risk patients.
What is d-dimer?
300
PaO₂ <60 mmHg defines this type of respiratory failure.
What is hypoxemic respiratory failure?
300
Woah, someone put too much air in these baloons (or lungs)! Hyperinflated lungs with flattened diaphragms usually suggests this type of COPD/lung disease
What is emphysema?
300
Dang, the norepinephrine/levophed didn’t work. Gotta call in this back up, the most commonly added second-line vasopressor in septic shock
What is vasopressin?
400
Things are not golden when you have this severe pneumonia, most likely due to this pathogen
What is Staphylococcus aureus?
400
Silence is golden… except when it’s an asthma patient. It’s concerning for this.
What is impending respiratory failure?
400
Isn’t this cardiac? So then why do I need these biomarkers to help stratify the risk of pulmonary embolism according to recent AHA/ACC guidelines?
What is BNP and troponin?
400
A COPD patient receiving excessive oxygen may develop worsening hypercapnia due to this mechanism.
What is worsening V/Q mismatch?
400
A visible pleural line with absent lung markings peripheral to it indicates this pathology
What is a pneumothorax?
400
Low tidal volume ventilation improves outcomes in this ICU syndrome
What is ARDS?
500
It’s bad luck when you have recurrent pneumonia, especially in the same lobe. Either the bugs really love this spot, or you should really evaluate and rule out this
What is obstructive lesion (or malignancy)?
500
The GOLD classification of COPD relies primarily on this pulmonary function test measurement.
What is FEV1?
500
First-line treatment for most stable PE patients
What is anticoagulation?
500
A patient with obesity, daytime somnolence, and chronic hypercapnia most likely has this condition.
What is obesity hypoventilation syndrome?
500
“ITS SO FLUFFY IM GONNA DIE”, says Agnes from Despicable Me, but so will your patient because of this condition they have, suggested by the CXR.
What is ARDS?
500
It’s 2 AM, and your COPD patient on BiPAP develops worsening acidosis, rising PaCO₂, and declining mental status… Yikes. Let’s get ready to do this intervention
What is endotrachael intubation?