Asthma and COPD

EM Clerkship

Zack Olson, MD and Michael Estephan, MD

Education, Courses, Health & Fitness, Medicine

5 • 795 Ratings

🗓️ 23 July 2017

⏱️ 10 minutes

🔗️ Recording | iTunes | RSS

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Summary

5 core treatments and 5 MORE treatments 5 Core Treatments Albuterol Beta agonist Bronchodilator Core treatment for asthma Ipratropium Anti-muscarinic Relax muscles around the airways Works synergistically with albuterol Steroids Decrease inflammation in the airways Prednisone (PO) Methylprednisone (IV) BiPAP (COPD) Decreases work of breathing Decreases rates of intubation Decreases mortality Antibiotics (COPD) Infection common […]

Transcript

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0:00.0	Hello, med students. This episode has been sponsored by Freed AI. Do you dread the thought of
0:07.1	endless charting once you become a doctor? Do you think that doctors should be spending more
0:11.9	time with our patients and less time mindlessly writing notes? Freed AI is the product for you. It is a
0:20.4	secure, hippocompliant scribe that anybody can use.
0:24.7	Focus your energy on what matters, providing good patient care.
0:29.5	Use coupon code EM50 to save 50% the first month you try it,
0:34.1	and you can cancel at any time if you decide it's not right for you. You can learn more
0:38.9	at www.gitfreed.a.i. Hello, med students. My name is Zach Olson and thank you for downloading
0:51.0	this week's episode of the EM Clerkship Podcast.
0:56.0	I am all fired up this week, ready to do some teaching.
0:59.6	Here's this week's case.
1:05.4	University Medical is Daniels 21. How do you copy?
1:09.5	Okay. I got a 23-year-old male coming from the soccer field, complaining of wheezing, does
1:17.8	have a history of asthma, is not currently on medication, does carry an inhaler for exercise-induced
1:24.6	asthma, but it doesn't have it on him today.
1:30.5	We do have him on an albuterol 2.5 yaneb and he did show improvement currently he is BP 1 40 over 80 pulse of 96 respirations are
1:42.0	currently 16 and glucose was 110 we're're in Route to about 10 minutes. No other
1:48.3	complaints. Do you have any questions or orders? Okay, thanks. This week, we are talking about
1:58.0	COPD and asthma exacerbations.
2:01.4	Two of the most common diagnoses you will be making in the emergency department.
2:05.7	You will see this on your clerkship.
2:09.1	And the focus today is going to be on the treatment of these COPD and asthma exacerbations.
	...

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