Respiratory Flashcards

Question

General inhaler technique

Answer 1

1. Breathe out, fully and gently 2. Place inhaler mouthpiece in the mouth and seal the lips around the mouthpiece 3. Breathe in (pMDIs: slow and steady, DPIs: quick and deep) 4. Remove inhaler from the mouth and hold breath for up to 10 seconds 5. Wait for a few seconds then repeat as necessary

Answer 2

Oxygen if required (pO2 94-98%) **Prednisolone 40-50mg OD min 5 days** - *child under 12 up to 3 days* SABA via nebuliser *if symptoms persist, repeat and add nebulised ipratropium*

Answer 3

1. SABA or SAMA *(salbutamol or ipratropium)* *If no asthma features,* 2. LABA + LAMA 3. LABA + LAMA + ICS (3 months if impact on quality of life) *If asthma features,* 2. LABA + ICS 3. LABA + LAMA + ICS

Answer 4

1. **nebuliser** - SAMA, SABA or theophylline 2. **IV aminophylline** 3. **Prednisolone 30mg OD 7-14 days** 4. **Antibacterial therapy** - amoxicillin, tetracycline or clarithromycin

Answer 5

1. SABA 2. Add LTRA

Answer 6

Promethazine (BD/TDS) Others, Chorphenmine Hydroxyzine

Answer 7

Hydroxyzine

Answer 8

‘**FLAC**’ Acrivastine (TDS) Cetirizine (OD) Loratidine (OD) Fexofenadine (OD)

Answer 9

Promethazine (insomnia, nause) Diphenhydramine (insomnia) Buclizine (migraine only)

Answer 10

Child under 6: **150 mcg** Child 6-12: **300 mcg** 12+ : **500mcg**

Answer 11

5-15 minutes after first injection

Answer 12

- Adrenaline and oxygen - Antihistamine - Corticosteroid

Answer 13

Dexamethasone oral solution

Answer 14

QT prolongation Torsade de pointes

Answer 15

**100mg** *In elderly = 50mg*

Answer 16

Mucolytics 1. **Dornase alpha** 2. Dornase alfa+ hypertonic sodium chloride or hypertonic sodium chloride alone.

Answer 17

• Start to breathe in **slowly and steadily** and at the same time press the canister. • keep your mouth closed and hold your breath for 10 seconds or as long as comfortable. • If second dose is required, wait 30 seconds,

Answer 18

- Breathe out gently and slowly and put your lips around moth piece. - Breathe in **quickly and deeply**. - Remove inhaler from your mouth and hold your breath for 10 seconds or as long as comfortable. Breathe out gently

Answer 19

1. Twist off cover and uphold upright 2. Turn coloured base as far as it goes it will go in one direction and then back again. You should hear a click. 3. Repeat once more. 4. Twist off top cover 5. Check mouthpiece and dose counter 6. Hold upright and twist base to the right and to the left until you hear a click. 7. Breathe out slowly and gently. 8. Hold inhaler horizontally. 9. Put your lips around the mouthpiece 10. Breathe in quickly and deeply. 11. Remove the inhaler from your mouth, hold your breath for 10 seconds or as long as comfortable. 12. Breathe out gently 13. If second dose is required, repeat the steps 14. Twist cover back on when finished.

Answer 20

1.Press down on the green button to release cap. 2.Check there's nothing in the mouthpiece. 3.Open the mouthpiece, take a capsule from the blister pack and place inside the inhaler. 4.Close the mouthpiece until you hear a click. 5.Sit or stand up straight 6. Breathe out gently and slowly 7. Hold inhaler horizontally 8. put your lips around the mouthpiece 9, Put your lips around the mouthpiece 10.breathe in quickly and deeply, you should hear a vibrating noise 11.Remove the inhaler from your mouth, hold your breath for 10 seconds or as long as you're comfortable. 12.Repeat steps again to make sure you empty the capsule. 13.Open the mouthpiece, tip out the empty capsule into bin and close.

Answer 21

1. Slide cover open until you hear a click. 2. Check the mouthpiece 3. Hold the inhaler horizontally. 4. Sit or stand up straight. 5. Breath out gently and slowly 6. Put your lips around the mouthpiece 7. Breathe in quickly and deeply 8. Remove the inhaler from your mouth. 9. Breathe out gently 10. If second dose is required, close cover to reset and repeat 11. Close cover when finished.

Answer 22

Suicidal thoughts