W22 - Pharm Care Resp Hospital Flashcards

1
Q

what are the roles of a pharmacist in a hospital

A

medicine optimisation

ward referrals for complex patients

high risk medicine monitoring service

outpatient clinics

patient telephone support clinic

respiratory drug evaluations for new medications to be added to the hospital formulary

clinical audits

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What diseases might be affected by drugs used in Asthma or COPD management

A
Diabetes 
Cardiovascular disease 
Hypertension
Prostatic hyperplasia
Glaucoma
Liver disease - reduce theophylline clearance
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what are symptoms of severe acute asthma

A
tachypnea
severe breathlessness
decreased O2 saturations
altered consciousness
cyanosis
tachycardia
silent chest
accessory muscle use
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How do we treat severe acute asthma (BETA 2 AGONIST)

A

Beta 2 agonist bronchodilators e.g. salbutamol

high doses act quickly to relieve bronchospasm with few side effects salbutamol 2.5 - 5mg can be given back to back

nebulised route

repeat at 15-30 minute intervals

can be given IV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How do we treat severe acute asthma (Steroids)

A

reduce
mortality
relapses
subsequent hospital admission and requirement for beta 2 agonist
earlier they are given better the outcome
steroid tablets are as effective as injected steroids, provided they can be swallowed and retained

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what is a nebuliser

A

converts a solution of drug into a fine spray

oxygen compressed air or ultrasonic power is used to break up the liquid drug

delivered through a face mask

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Monitoring the severe acute asthma patient

A
PEFR
Oxtgen saturation
Heart rate
Potassium 
Blood Glucose
Serum theophylline
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is maintenance and reliever therapy

A

LABA and ICS in combination twice a day, same inhaler can be used as reliver

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what are side effects of corticosteroids

A

Oral candidiasis

Dysphonia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Long acting beta 2 agonists

A

Cardiovascular stimuation
Anxiety
Tremor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Leukotriene receptor antagonists

A

abdominal pain
thirst
sleep disturbances
headache

How well did you know this?
1
Not at all
2
3
4
5
Perfectly