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Treatment • limited treatment options • Corticosteroids, colchicine or immunosuppressant for some type • No evidence that any medications can help this condition (IPF) • because scarring is permanent once it has developed • Lung transplantation is the only therapeutic option available 30
Prognosis • Life expectancy 2-5 years after diagnosis • Factors lengthen the life expectancy • A younger age (under 50 years old) • Female • Symptoms that began less than one year • If the pulmonary fibrosis i is associated with certain diseases (such as systemic sclerosis) compared to idiopathic pulmonary fibrosis • Minimal SOB at diagnosis • Less lung damage based on the high-resolution CT (HRCT) at the time of diagnosis • A positive response to treatment after three to six months 31
Page 1 and 2: Case presentation Dr. W.S. Ng Dr. K
Page 3 and 4: • On arrival, vital signs • BP
Page 5 and 6: Proceed to RSI for mechanical venti
Page 7 and 8: • Approach by ABC • P/E • Tac
Page 9: Investigations • ECG • At Arter
Page 13 and 14: Sliding sign Comet tail artifact 13
Page 15 and 16: Now patient got Type 2 respiratory
Page 17 and 18: • RSI • Suxamethonium 75mg •
Page 19 and 20: Progress • Extubate on the same d
Page 21: • PHx. • Retired businessman
Page 26 and 27: Pulmonary Fibrosis 26
Page 28 and 29: Diagnosis • Progressive shortness
Page 32 and 33: Now you know the history and DNR Wi
Page 34 and 35: HAHO guideline on in-hospital resus
Page 36 and 37: DNR Ambulance Command Standing Orde
Page 40 and 41: • Ambulance Command Standing Orde
Page 42 and 43: • Advance Directives (AD) • Bac
Page 44 and 45: • Advanced Care Plan (ACP) • A

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