A 35-year-old female patient seen in the emergency department with increasing dyspnea and cough for 4 days. She is known to have Asthma for years. She receives systemic steroids as well as several sessions of nebulizers. She is improving and you are planning for discharge What is the best parameter than can help you safely discharge the patient from the emergency department?
سؤال مجاني 4 من 10 اليوم · اشترك وكمّل بدون حد
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الإجابة والشرح
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الإجابة: D. Peak Expiratory flow rate greater than 50% predicated
The objective parameter for discharge is the peak expiratory flow (PEF). The cohort summary says PEF should be above 50% to discharge safely. Speaking full sentences or a normal SpO2 is subjective or nonspecific, a normal CXR is expected in asthma, and FVC is not the follow-up measure in acute asthma. (Note: GINA uses a stricter cut-off of about 60–80%, but D is the only PEF option.)
ليش كل خيار صح أو غلط
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A
ليش غلط
Speaking in sentences is a bedside sign, not the stated discharge test. The summary gives an objective criterion: PEF above 50%.
✓ Pulmonology 🫁.pdf · p. 6 -
C
ليش غلط
A chest x-ray is not routinely recommended in an exacerbation, so a normal film is not the discharge criterion.
✓ Asthma & asthma exacerbation.pdf · p. 10 -
D
ليش صح
For safe discharge the peak expiratory flow rate should be above 50%.
✓ Pulmonology 🫁.pdf · p. 6 -
E
ليش غلط
During an acute exacerbation the test used is the peak flow meter, not full spirometry (FVC).
✓ Pulmonology 🫁.pdf · p. 3
- المصدر
- Pulmonology 🫁.pdf · p. 6
- المحاضرة
- Acute Asthma · Pulmonology · Module B
- ظهر في
- Respi bank