Symptoms in the pharmacy Respiratory Flashcards
1
Q
Common ailment scheme
A
- Free NHS service
- Access for advice and treatments for 26 conditions
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
3
Q
Who can acess Common ailment scheme
A
- Only available for those who live in wales through choose pharmacy
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
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
6
Q
Choose Pharmacy
A
Confidential NHS electronic records system,
which community pharmacists use to record details of NHS services they provide to you
7
Q
Cold symptoms
A
- Congestion
- Itchy eyes
- Feeling tired
- Cough
- Runny nose
- Sore throat
8
Q
Flu
A
- Fever
- Fatigue extreme
- Body ache
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
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
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
12
Q
Seasonal influenza
A
- Vius Orthomyxoviridae
- Most complications of influenza have acute bronchitis - more lungs than nose
- Pneumonia
- Asthma
- Sinusitis
13
Q
Uncomplicated influenza
A
- Symptoms occour 2 days after exposed
- Nasal discharge, cough, fever, gastrointestinal symptoms and sore throat
14
Q
Complicated influenza
A
- Require hospital admission, involve the lower respiratory tract central nervous system
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
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
Most common groups to be effected
- 6 months and 6 years of age, with a peak incidence during the age of 2
26
Mild croup symptoms
- Include seal-like barking cough but no stridor or sternal/intercostal recession at rest
27
Moderate croup symptoms
- Include seal-like
barking cough with stridor and sternal recession at rest; no agitation or lethargy
28
Severe croup symptoms
- Include seal-like barking cough with stridor and sternal/intercostal recession associated with agitation or lethargy
29
What do you don if you notice symptoms of croup in child
- Child should be immediatly reffered presenting moderate or severe
30
Management of croup
- 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
Manage severe symptoms
- 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
Whooping Cough
- Also known as pertussis
* It is a highly infectious disease caused by the bacterium Bordetella pertussis
33
Spread and length whooping cough
* 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
# 1st phase
The catarrhal phase
- Last a week develop dry cough which is unproductive
35
# 2nd phase
Paroxysmal phase
- 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
# 3rd phase
The convalescent phase
Additional 2 months or more, and is characterised by gradual improvement in the frequency and severity of symptoms
37
Whooping Cough management
- 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
