Respiratory Flashcards
Symptoms of common cold
- Runny/blocked nose
- Sneezing/Cough
- Headache
- slight temperature
- Sore throat
Symptoms of Influenza
- common cold symptoms
- bed bound
- fever of 38
- fatigue
treatment for sore throat
Demuclents - Strepsles
Treatment for congestion
Steam inhalation
Sudafed
Side effects of decongestants
- Rebound
- CNS stimulants
Patient groups who can not have decongestants
Heart diseases
Diabetes
hyperthyroidism
In ability to sleep treatment
Antihistamine - Night nurse
Treatment for cold and flu in children
paracetamol
fluids
rest
vapour rubs/ saline drops
Referral criteria for Cold and Flu
Adults; Lung conditions, Earache, coloured sputum, suspected influenza, chest pain and dyspnoea
Children; Asthma symptoms, ear tugging, persistant high temperature, cough at night
Other causes of cough
URTI, atmosphere, smoking, Asthma/COPD/heart
Medications (ACEI)
Name an Antitussive and how its used
Pholcodine; 6-12years; 5ml QDS (max 5 days)
Adults; 10ml Six times a day
Name an expectorant
Guaifenesin
Administration; 12years+ 10ml QDS
When do you refer for Allergic Rhinitis
- Failed medication (OTC use > 5 days)
- Facial pain
- Earache
- Cough
- Conjunctivitis with sticky/coloured pus discharge
- Wheezing
Treatment for Hayfever with symptoms of Congestion
- Beclometasone and fluticasone (prophylactics)
- Continue use throughout hay fever season
- Can use for up to 3 months
- SE: dryness & irritation of nose, nose bleeds
- C/I: pregnancy & breastfeeding, nose/eye infections, glaucoma, < 18 years
Treatment for children with hayfever
- Non-sedative loratadine (2years+ >30kg), ONE daily
Give general counselling points for hayfever
Avoid going out when pollen count is high; Keep windows and doors closed; Wear sunglasses; Shower and change clothes after being outside; Avoid picnics, camping, mowing lawn; Do not leave clothes on washing line; Caution contact lens wearers
Name a mast cell stabiliser and its use
- Sodium Cromoglycate (Murine hayfever eye drops)
- Start 1 week before hay fever season and continue use
Adults and Children over 6 years:
One or two drops to be administered into each eye four times daily.
Suggest a combination product that can be used for Hayfever
Benadryl Relief Plus 12years +(Acrivastine + Decongestant) 1 TDS
State General Counselling points for Hayfever
Counselling (HAYFEVER): Avoid going out when pollen count is high; Keep windows and doors closed; Wear sunglasses; Shower and change clothes after being outside; Avoid picnics, camping, mowing lawn; Do not leave clothes on washing line; Caution contact lens wearers
Counselling (PERENNIAL): Use acaricide and fungicides; Non-allergenic pillows; Mattress and pillow covers; Wash bedding weekly at 60◦C; Damp dust; Vacuum often
