Management of Respiratory Diseases Flashcards
What is step 1 treatment for asthma?
An occasional short-acting inhaled beta-2 agonist
salbutamol
What is step 2 treatment for asthma?
Add standard dose inhaled steroid (beclometasone)
What is step 3 treatment for asthma?
Add long-acting Beta-2 agonist (Salmeterol)
What is step 4 treatment for asthma?
Increase ICS dose or add 4th drug (Leukotriene receptor antagonists)
What is step 5 treatment for asthma?
Add regular oral prednisolone
What is the immediate treatment for someone with an acute/severe asthma attack?
Salbutamol (5mg - nebulised)
IV hydrocortisone (100mg)
Start O2 if sats are
What is the treatment for pneumonia?
Amoxycillin/ clarithromycin/ Co-amoxiclav
Oxygen, CPAP, Intubation
What are the main causative organisms for bronchiectasis?
Staph Aureus
H. Influenzae
What is the treatment for bronchiectasis?
Chest physiotherapy
Appropriate antibiotic treatment
B2 agonist + ICS
What is the management for DVT and PE?
Anticoagulation (LMW heparin and warfarin)
Thrombolysis if bigger PE (Alteplase)
Venal caval filter for those who develop more emboli whilst still on anticoagulants
Prevention (compression stockings, early mobilisation)
What is the recommended management for PHT?
Warfarin
Oxygen
Diuretics
CCBs
What is the recommended treatment for lung cancer?
Depends on TNM
If possible - surgery
If not - chemotherapy and/or radiotherapy
Palliative care
What is the main treatment for a pleural effusion?
Drain the fluid (potentially repeatedly)
Treat the underlying cause for the pleural effusion
What is the treatment for a pneumothorax?
Cannula (ICS)
Chest drain
What is the recommended treatment for sarcoidosis?
Corticosteroids