wk 11- respiratory

Question 1

causes, clinical features and management of respiratory conditions

Question 2

asthma

Answer 2

chronic inflammation and reversible bronchoconstriction that occurs when allergens, irritants and infections enter airways

atopic disease

symptoms:
wheeze,
breathlessness,
cough
tight chest
prolonged expiration

Question 3

chronic asthma treatment

Answer 3

SABA - reliever for everyone as required

LABA/ICS - preventor

Question 4

acute asthma management- emergency

Answer 4

1. bronxhodilator therapy immediately/oxygen
2. corticosteroids within first hour

Question 5

assessing chronic asthma severity

Answer 5

mild- day time symptoms more than once per week but not every day OR night symptoms more than twice per month but not every week

mod- day symptoms daily or night symptoms more than once per week or sleep/activity restrcted

severe- continuous day time symptoms or night time symptoms or night/activity restrictions

Question 6

when to refer

Answer 6

emergency
new shortness of breath at rest
altered level of consciousness
increased work of breathing
chest pain with inspiration
signs of cyanosis

GP
recurrent or chronic symptoms that pt didnt previously have

Question 7

chronic obstructive pulmonary disease

Answer 7

chronic, progressive and incompletely reversible airflow limitation due to
1. inflammation in small airways
2. alveolar destruction (emphysema) -reduced gas exchange

Question 8

clinical features of COPD

Answer 8

smoker - 20/day for 20 years history
persistent, productive cough
progressive breathlessness, worse on exertion and during infections

Question 9

COPD treatment/management

Answer 9

-smoking cessation
-flu vaccinations
-long term oxygen therapy
-pulmonary rehab

combination of SABA, ICS, and antibiotic

Question 10

pneumonia

Answer 10

acute inflammation of lungs due to infection

symptoms
fever
cough
sputum
chest pain
breathless ness

Question 11

acute bronchitis

Answer 11

acute infecction of large airways -typically viral