random stuff Flashcards
Patient is due to have a grass pollen vaccine today. She was told by the nurse before that she would need to remain in clinic for a period of time after receiving this vaccine to make sure she was okay. How long after this allergen immunotherapy will she need to be monitored for?
Hypersensitivity reactions to immunotherapy can be life-threatening therefore cardiopulmonary resuscitation should be available, and patients must be monitored for at least 1 hour after injection.
You are assisting a patient with a new inhaler, Spiriva (tiotropium) Respimat, as part of your New Medicine Service (NMS). The patient mentions that he has never used this type of inhaler before and asks for guidance on the correct technique. What inhalation technique should you recommend?
Slow and steady.
Spiriva Respimat is a soft mist inhaler.
16-year-old with pt asthma, visits GP. Recently, she has been struggling with her breathing, and her peak flow has dropped to 63% of her best. She is still able to speak normally and shows no signs of severe or life-threatening asthma. The GP diagnoses her with an acute exacerbation of asthma and decides to prescribe a short course of prednisolone. What dose and duration is most likely to be prescribed?
For all cases of acute asthma (mild to moderate, severe, and life-threatening), the recommended dose of prednisolone is 40-50mg once daily for a minimum of five days in adults and children over the age of 12.
COPD is characterized by progressive airflow obstruction that is not fully reversible, unlike asthma, which is reversible. This test ….. helps differentiate between asthma and COPD based on this characteristic.
A bronchodilator reversibility test (BDR)
You are assisting a patient with a new inhaler, Onbrez (indacaterol) Breezhaler, as part of your New Medicine Service (NMS). The patient mentions that he has never used this type of inhaler before and asks for guidance on the correct technique. What inhalation technique should you recommend?
Onbrez Breezhaler is a dry-powder inhaler, therefore a strong, fast and deep inhalation technique is needed for correct and effective use.
In beats per minute, what is the heart rate of an adult having a severe acute asthma exacerbation expected to be over?
the heart rate of an adult having a severe acute asthma attack is over 110 beats per minute.
In breaths per minute, what is the respiratory rate of an adult having a severe acute asthma exacerbation expected to be over?
25
In beats per minute, what is the heart rate of a 6-year-old child having a moderate acute asthma exacerbation expected to be over?
less thn or equal to 125
As a percentage, what is the maximum peak flow you would expect to see in a patient with a life-threatening acute asthma exacerbation?
33
What is the minimum amount of adrenaline that should be administered to a 15-year-old who is having an acute anaphylaxis reaction?
500mcg
What is the minimum amount of adrenaline that should be administered to a 7-month-old who is having an acute anaphylaxis reaction?
150mcg
A patient has come into the clinic after developing a vasculitic rash and have felt like they have been having heart palpitation. On taking the patient’s bloods, they have also shown signs for eosinophilia. The pharmacist has said that this may be due to one of the patient’s medications. Which of the following medications would most likely have been responsible?
These are signs and symptoms of Churg-Strauss syndrome, which is associated with montelukast. Signs and symptoms include eosinophilia, vasculitic rash, worsening pulmonary symptoms, cardiac complications, or peripheral neuropathy.
