Respiratory Flashcards
1
Q
Allergic Rhinitis
Step wise pharmacological approach
A
Intranasal saline spray
v
Intranasal corticosteroids
v
Second generation Antihistamines
v
Decongestants
v
Mast cell stabilisers / Opthalmic antihistamines
v
Leukotriene Receptor Antagonists
v
Intranasal Antihistamines
v
Oral corticosteroids
v
Immunotherapy
2
Q
Allergic rhinitis
Step wise pharmacological approach
A
INTRANASAL CORTICOSTEROIDS
- Fluticasone 2 sprays per nostril daily (=max)
SG ANTIHISTAMINES
- Loratadine 10mg PO dly
- Fexofenadine 180mg PO dly (Pilots)
3
Q
Asthma
- Assessment of asthma severity, which parameter is assessed on spirometry
- Non-pharma advices
A
- FEV1/FVC
Forced Expiratory Volume in 1 second and Forced Vital Capacity ratio
2.
- stop smoking
- Keep pets out of house / bedroom
- Eradicate mould in house and use dehumidifier
- Vacuum using HEPA filters
- Exercise
- Vaccinations
4
Q
Asthma
Systemic treatment class and medication used in asthma
A
- Corticosteroids - Prednisone
- Leukotriene Receptor Antagonists - Montelukast
- Methylxanthines -Theophylline
- Beta 2 agonists - Salbutamol
- Biologic agents - Omalizumab
- Immunotherapy - Sublingual immunotherapy
5
Q
Asthma
Issues to be discussed in each follow up visit
A
- Avoidance of triggers
- Regular use of inhaled corticosteroids
- Assess and correct inhaler technique
