Respiratory care - community Flashcards

1
Q

Red flag symptoms for respiratory conditions

A
  • Chest pain/pain when breathing
  • Wheezing
  • Chronic cough (>3 weeks)
  • Reoccuring cough
  • Haemoptysis (blood in flem)
  • Weight loss (induction of cancer)
  • Fever (indicates infection)
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2
Q
A
  • If asthma is controlled and no worsening wheeze
  • Recommend demuceselent such as codeine linctus
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3
Q
A
  • Any allergies?
  • Inhaler techniques?
  • What type of cough? Wheezy?
  • Is she coughing anything up?
  • Has athma gotten worse?
  • How is her asthma controlled?
  • Compliance to medicine?
  • Refer her to GP - showing red flag symptoms
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4
Q

What should you recommend for colds with patients with respiratory diseases?

A
  • Avoid respiratory depressants if
    disease severe
  • E.g. cough suppressants
  • Asthma
  • Avoid NSAIDS unless patient taken
    safely previously
  • Recommend:
  • Paracetamol
  • Honey and lemon
  • Steam inhalation
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5
Q

What would you recommend?

A
  • Non alcoholic solutions as they irritate lungs, bad for asthmatics
  • Use aqueous solutions e.g. hedrin
  • Also only treat the ones who have lice
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6
Q

Ways to support patients with respiratory diseases

A

SIMPLE
- Stop smoking: smokers respond less to asthma treatment
- Inhaler technique
- Monitoring: pharmacist should encourage people to go for reviews, high risks should be monitored
- Pharmacotherapy: ICS should be prescribed for all asthmatics. People with LABAs should also have ICS
- Lifestyle: avoid allergies, adapt healthy lifestyle - weight reduction, reduce fruits veg fish and eggs
- Education: Pharmacists should ensure all patients have a written asthma plan

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7
Q

Deterioration in Respiratory
Conditions – Things to look out for

A
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8
Q

What non pharmacological and pharmacological will you discuss with Mr Rogers?

A
  • Risk factors for disease progression - smoking overweight and lifestyle
  • Vaccinations - pneumonia, influenza, covid
  • Check inhaler technique
  • Salbutamol inhaler
  • LABA/LAMA
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9
Q
A
  • Temp - presence of fever
  • Oxygen saturation
  • Blood pressure
  • Heart rate
  • Chest examination
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