W22 - Pharm Care Resp Community Flashcards
what are redflags symptoms of a cough
Chest pain / pain on breathing in
Wheezing / SOB
Chronic cough >3 weeks
Recurring cough
Haemoptysis
Weight loss
Purulent sputum
Fever
what are two examples of respiratory suppressant
codeine
pholcodeine linctus
what questions can you ask someone who comes in with a cough
cough anything up
allergies to food and medicine
how long
other symptoms
taking other medicines
what questions can you ask someone who comes in with a cough and asthma
Asthma worse
Asthma control
Date of last review
Inhaler technique
Compliance with taking medications
what questions can you ask to a patient with COPD
how is breathing
other symptoms
what general advice should be given for patients with colds who have respiratory diseases
Avoid respiratory depressants if disease severe e.g. cough suppressants
if patient has Asthma - avoid NSAIDS unless patient taken safely previously
recommend
- Paracetamol
- Honey + lemon
- Steam inhalation
what should be taken into account when a patient has a strain or sprain
avoid opioids where breathing impaired
avoid NSAIDs in asthmatics
Check severity
Check allergies
Advise them to manage injury using PRICE
what does price stand for
Protect
Rest
Ice
Compress
Elevate
how do we treat headlice in patients with asthma
use aqueous solutions as it does not irritate skin or lungs e.g. Hedrin
what symptoms might a patient have
insomnia
- check plasma levels
- theophylline
thrush
- effect of antibiotic
- use miconazole
tiredness
- deterioration in COPD
- refer
Tremor
- salbutamol
- review treatment
heartburn
- oral prednisolone
- recommend omeprazole or antacid
nausea
- side effect of theophylline
- check levels
OTC interactions theophylline
Cimetidine
Fluconazole
St Johns wort
what are some drugs that increase theophylline levels
macrolides
Quinolones
Fluvoxamine
Calcium channel blockers
what are some drugs the lower theophylline levels
Rifampicin
Phenobarbital
Phenytoin
what are the drugs lowering theophylline levels
Rifampicin
Phenobarbital
Phenytoin
what are drugs lowering potassium
corticosteroids
high dose beta 2 agonists
diuretics
