Management

Question 1

Asthma Management and prognosis

Answer 1

Often reversible, but no cure for cause

Exercise guildelines, smoking cessation, weight loss

Personalised plan, annaul review

Inhalers adherance, avoidance of exacerbation

Calm breathing and ACBT techniques

Medical: bronchodilators, anticholingergics, oral corticosteroids, mast cell stabilisers

Outcome measures: symptom control, spirometry and PEF, exercise capacity, exacerbation number, medication change

Question 2

Aspiration Pneumonia Management

Answer 2

SALT referral

exercise tolerance recovery
cause of aspiration? neuro investigation

Radiographer, Radiologist, Dietian, SLT, Neuro?

Question 3

Cystic Fibrosis Management and prognosis

Answer 3

Incurable but management slows lung damage, increased mortality and decreased longevity

Self management is key: airway clearance same as treatment

Avoidance of other CF patients

Medical: sputum cultures, bone density, nutrition, antibiotics, bronchodilators, mucolytics

Question 4

General Anaesthetic Management

Answer 4

Medical: opiods, NSAIDS, analgesia

Importance of mobilisation and deep breathing exercises

Activity guidelines, smoking cessation

Question 5

COPD Management

Answer 5

No cure, irreversible lung damage
Lung transplant
Advice/self management
Activity guidelines, smoking cessation, vaccination, BMI, alcohol
Psych support
Non-invasive ventilation, oxygen

Medical: inhaled steriods, bronchodilators (salbutamol), nicotine agonist to reduce smoking craving