Resp

Question 1

What is meant by the term prophylaxis?

Answer 1

Treatment given or action taken to prevent disease

Question 2

In asthma what drug is used to treat acute symptoms and what drug is used for prophylaxis?

Answer 2

(1. ) Clenil modulite (beclometasone) is used for prophylaxis of asthma
(2. ) Salbutamol is used to treat acute symptoms e.g. exercise induced bronchospasm

Question 3

What is a spacer device and how it can this help a child take their asthma medication?

Answer 3

(1. ) A spacer is an add-on device used to increase the ease of administering aerosolized medication from a metered-dose inhaler (MDI).
(2. ) The MDI is sprayed into the spacer at the start of inspiration and the patient inhales and exhales though the spacer device 5-10 times.
(3. ) A spacer device is a plastic container with a mouthpiece or mask at one end, and space to insert an inhaler at the other.
(4. ) Spacer devices ensure the person with asthma gets the maximum benefit from their medication and helps direct it to where it’s needed in the lungs
(5. ) Ensures child get right amount of medication and allows them to breath it into the lungs (whereas it would go straight to throat and less reaches lungs).

Question 4

For salbutamol and clenil modulate, explain why this route is used rather than orally.

Answer 4

(1. ) Salbutamol and clenil modulate are administered by inhalation to;
- avoid first pass metabolism
- so that the drug gets directly to the small airways where it will exert its effects.

Question 5

Name a drug given as a prophylaxis in COPD

Answer 5

(1. ) Tiotropium is given for prophylaxis, it prevents exacerbations of COPD.
(2. ) It is a long acting anticholinergic bronchodilator (LAMA)

Question 6

What drugs can be used to treat the recent deterioration in COPD?

Answer 6

Steroids, antibiotics and possibly the oxygen are being used to treat the recent deterioration of COPD.