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Tx of influenza in pts > 7 yrs old
Prevention of influenza in pts > 5 yrs old
*NOT recommended for pts with asthma or COPD*
Apnea-hypopnea index (AHI) [define]
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, May be used to define and quantify severity of OSA; obtained by dividing
total # of apnea and hypopnea episodes throughout the entire night by
total sleep time
OSA - aggravating factors
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-Obesity
-Alcohol consumption
-Sedatives, hypnotics, & narcotics
Pneumonia - antibiotics (without recent antibiotic therapy)
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*Doxycycline*
-OR-
Azithromycin
-OR-
Clarithromycin
A multiple sleep latency test (MSLT) [define]
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, Patient is instructed to take five 20-minute naps 2 hours apart
-Healthy subjects have sleep latency of greater than 7 minutes
-If sleep onset occurs within 7 minutes, excessive daytime sleepiness is
confirmed
Sleep apnea - characteristics of arousals
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-Arousals often last 1-3 seconds
-Not recognized by the patient
Asthma-triggering medications
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-ACE inhibitors
-Beta blockers
-Aspirin
-NSAIDs
What are significant complications of OSA?
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, *Dysrhythmias*
^esp. A-fib!!
-Pulmonary & systemic hypertension
-Insulin resistance
Increased risk of:
-stroke
-MI
How long are patients with TB contagious after beginning treatment?
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2-3 weeks
What chest x-ray finding is associated with viral pneumonia?
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Diffuse, interstitial infiltrates
The Epworth Sleepiness Scale (define)
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