Respiratory management

Question 1

Typical management of ILD

Answer 1

usually a poor prognosis as damage is irreversible so management is supportive
options are:
>remove or treat underlying cause
>home oxygen where they are hypoxic at rest
>stop smoking
>physiotherapy and pulmonary rehabilitation
>pneumoccocal and flu vaccine
>advanced care planning and palliative care where appropriate
>lung transplant is an option but careful considerations need to be made

Question 2

management of hypersensitivity pneumonitis

Answer 2

removing the allergen
giving oxygen where necessary
giving steroids

Question 3

management of acute bronchitis

Answer 3

typically supportive with analgesia and sometimes bronchodilators

Question 4

what is salbutamol an example of

Answer 4

beta 2 adrenergic receptor agonist

Question 5

how does salbutamol work for asthma

Answer 5

beta 2 adrenergic receptor agonist
adrenalin allows for smooth muscle relaxation
effects only last an hour or so
used as a ‘rescue’ medication on exacerbation of asthma

Question 6

inhaled corticosteroids in asthma management

Answer 6

example of beclometasone
used as a prevention medication (taken even when well)
reduces the reactivity and inflammation of the airways