Peak Flow

Question 1

Peak flow advice

Answer 1

Take your peak flow before using the preventer inhaler
Always use same peak flow metre

Question 2

What is spirometry?

Answer 2

Measures functional lung volumes

Question 3

What is peak flow

Answer 3

A test to measure wow well you can breath out air and it’s used to assess lung function

Question 4

Name 3 obstructive lung disease

Answer 4

Asthma, COPD, Bronchiectasis

Question 5

Name some causes of restrictive lung disease

Answer 5

Pulmonary fibrosis, sarcoidosis, asbestosis, scoliosis, ankylosing spondylitis, myasthenia Gravis, guillain barre

Question 6

Intro

Answer 6

Tell result
When we’re you diagnosed?
What were your symptoms pre diagnosis?
Do you know what peak flow/spirometry is?
Current control/impact on: sleep, social life, work, exercise, mood

Question 7

Presenting complaint

Answer 7

How are you feeling?
Any recent illness or infections?
Any SOB
Is there any time when your condition is worse?

Question 8

Red flags

Answer 8

Wheeze is getting worse, affecting ADLs, Waling up at night with symptoms, using deliver inhaler more than usual

Question 9

Drug history

Answer 9

How well controlled?
What meds do you take?
How often do you use inhalers
Do you take any other medications
Do you take any beta blockers
Check inhaler technique

Question 10

Social history

Answer 10

Pets
Recent travel
Work
Allergies
Housing situation
Hayfever
Smoking
Alcohol

Question 11

Advice

Answer 11

Stop smoking, avoid precipitants, vaccination, exercise, eating

Question 12

ICE

Answer 12

Reassure patient that it’s ok that it dips through the day