W22 - Pharm Care Resp Hospital Flashcards
what are the roles of a pharmacist in a hospital
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
What diseases might be affected by drugs used in Asthma or COPD management
Diabetes Cardiovascular disease Hypertension Prostatic hyperplasia Glaucoma Liver disease - reduce theophylline clearance
what are symptoms of severe acute asthma
tachypnea severe breathlessness decreased O2 saturations altered consciousness cyanosis tachycardia silent chest accessory muscle use
How do we treat severe acute asthma (BETA 2 AGONIST)
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 do we treat severe acute asthma (Steroids)
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
what is a nebuliser
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
Monitoring the severe acute asthma patient
PEFR Oxtgen saturation Heart rate Potassium Blood Glucose Serum theophylline
What is maintenance and reliever therapy
LABA and ICS in combination twice a day, same inhaler can be used as reliver
what are side effects of corticosteroids
Oral candidiasis
Dysphonia
Long acting beta 2 agonists
Cardiovascular stimuation
Anxiety
Tremor
Leukotriene receptor antagonists
abdominal pain
thirst
sleep disturbances
headache
