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PMP 103 Practice of Pharmacy > Symptoms in the pharmacy Respiratory > Flashcards

Symptoms in the pharmacy Respiratory Flashcards

1
Q

Common ailment scheme

A
  • Free NHS service
  • Access for advice and treatments for 26 conditions
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2
Q

What does the common ailment scheme require

A
  • Patient registration
  • Private consultation
  • Advice on management and treatment and to refer to necessary professional
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3
Q

Who can acess Common ailment scheme

A
  • Only available for those who live in wales through choose pharmacy
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4
Q

Exclusion for common ailment scheme

A
  • Temporary resident in wales
  • Care home residents
  • Age - older people might be frail
  • Pregnancy
  • Condition occours multiple times - could be more severe
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5
Q

26 conditions that can be treated under CAS

A
  • Acne
  • Athletes foot
  • Backache (acute)
  • Chickenpox
  • Cold sores* - only advice
  • Colic*
  • Conjunctivitis (bacterial)
  • Constipation
  • Dermatitis (acute)
  • Diarrhoea*
  • Dry eyes
  • Haemorrhoids
  • Hayfever
  • Head Lice
  • Indigestion/reflux
  • Ingrowing toenail*
    17. Intertrigo/ringworm
    18. Mouth Ulcers
    19. Nappy rash
    20. Oral thrush
    21. Scabies
    22. Sore throat/tonsillitis
    23. Teething
    24. Threadworm
    25. Vaginal thrush
    26. Verruca
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6
Q

Choose Pharmacy

A

Confidential NHS electronic records system,
which community pharmacists use to record details of NHS services they provide to you

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7
Q

Cold symptoms

A
  • Congestion
  • Itchy eyes
  • Feeling tired
  • Cough
  • Runny nose
  • Sore throat
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8
Q

Flu

A
  • Fever
  • Fatigue extreme
  • Body ache
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9
Q

Common Cold

A
  • Mild, self-limiting, viral
  • No known treatment improves
  • Transmitted by either direct contact or aerosol transmission
  • Onset of symptoms
  • Sinusitis, lower resp infection
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10
Q

Common Cold length of symptoms

A
  • Adult and older children one week symptoms but cough could last 3 weeks
  • typically last 10-14 days for children
  • Infection prolonged for smokers
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11
Q

Adults and older children cold symptoms

A
  • Sore or irritated throat
  • Nasal discharge is often profuse and clear at first but
    becomes thicker and darker as the infection progresses
  • Cough, which typically develops after nasal symptoms
  • Hoarse voice caused by associated with larygitis
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12
Q

Seasonal influenza

A
  • Vius Orthomyxoviridae
  • Most complications of influenza have acute bronchitis - more lungs than nose
  • Pneumonia
  • Asthma
  • Sinusitis
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13
Q

Uncomplicated influenza

A
  • Symptoms occour 2 days after exposed
  • Nasal discharge, cough, fever, gastrointestinal symptoms and sore throat
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14
Q

Complicated influenza

A
  • Require hospital admission, involve the lower respiratory tract central nervous system
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15
Q

At risk groups for seasonal infulenza

A
  • Chronic respiratory
  • Heart, kidney, liver, or neurological disease
  • Diabetes mellitus
  • Obese
  • Immunosuppressed
  • > 65 years old
  • Women who are pregnant & 2 weeks after
  • Children aged <6 months
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16
Q

Managing influenza

A
  • Drink adequate fluid
  • Take paracetamol or ibuprofen to relieve symptoms, rest
  • Stay off work or school until the worst symptoms have resolved (in 1 week)
17
Q

Factors to be concidered to reffer to hospital

A
  • A complication such as pneumonia occurs.
  • The person has a concomitant disease that may be
    affected by influenza type 1 diabetes
  • There is suspicion of a serious illness other than
    influenza
18
Q

Cough

A
  • It is a reflex response to airway irritation.
  • It is triggered by stimulation of airway cough receptors, either by irritants or by conditions that cause airway distortion.
  • Cough can be acute (lasting < 3 weeks), sub-acute (lasting 3–8 weeks) or chronic (lasting > 8 weeks).
  • Commonly caused by a viral upper respiratory tract infection
19
Q

Causes of cough

A
  • Acute bronchitis.
  • Pneumonia.
  • Acute exacerbations of asthma
  • Environmental or occupational causes
  • Foreign body aspiration
20
Q

Management of cough

A
  • Self care with paracetamol or ibuprofen for pain and inflammation, if appropriate, and refer to smoking cessation if relevant
21
Q

Menengitis

A
  • Role glass on skin dosn’t blanche
  • Stiff neck
22
Q

Referral to a respiratory physician for cough

A
  • Does NOT respond to trials of treatment, if the diagnosis is uncertain, or if systemically unwell
23
Q

Croup

A
  • Common childhood
    disease
  • Usually caused by a virus.
24
Q

Symptoms of croup

A
  • Sudden onset of a seal-like barking cough usually
    accompanied by, hoarse voice, and respiratory distress due to upper-airway obstruction.
  • Symptoms are usually worse at night.
  • 12–48 hour history of a non-specific cough, rhinorrhoea, and fever
25
Q

Most common groups to be effected

A
  • 6 months and 6 years of age, with a peak incidence during the age of 2
26
Q

Mild croup symptoms

A
  • Include seal-like barking cough but no stridor or sternal/intercostal recession at rest
27
Q

Moderate croup symptoms

A
  • Include seal-like
    barking cough with stridor and sternal recession at rest; no agitation or lethargy
28
Q

Severe croup symptoms

A
  • Include seal-like barking cough with stridor and sternal/intercostal recession associated with agitation or lethargy
29
Q

What do you don if you notice symptoms of croup in child

A
  • Child should be immediatly reffered presenting moderate or severe
30
Q

Management of croup

A
  • Mild, moderate, or severe croup should receive a single dose of oral dexamethasone 0.15 mg
    per kg body weight.
    Managed at home and resolved in 48hrs use paracetamol or iboprofen
31
Q

Manage severe symptoms

A
  • Too unwell to receive medication, inhaled
    budesonide (2 mg nebulised as a single dose)
  • Intramuscular dexamethasome (0.6 mg/kg as a single dose)
32
Q

Whooping Cough

A
  • Also known as pertussis
  • It is a highly infectious disease caused by the bacterium Bordetella pertussis
33
Q

Spread and length whooping cough

A
  • It is spread by aerosol droplets released during coughing, and disproportionately affects infants and young children.
  • The incubation period is usually about 7 days, and the person is infectious for 3 weeks after the onset of symptoms
34
Q

1st phase

The catarrhal phase

A
  • Last a week develop dry cough which is unproductive
35
Q

2nd phase

Paroxysmal phase

A
  • Lasts for a month more and is characterised by coughing fits, whooping, and
    post-tussive vomiting. The person may be relatively well between paroxysms
36
Q

3rd phase

The convalescent phase

A

Additional 2 months or more, and is characterised by gradual improvement in the frequency and severity of symptoms

37
Q

Whooping Cough management

A
  • seriously unwell should be admitted to hospital (a low threshold is required for children aged 6 months or less)
  • An antibiotic all people with suspected or confirmed whooping cough with onset of cough within the previous 21 days
  • Take rest and lots of fluids

PMP 103 Practice of Pharmacy (41 decks)

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