Management Flashcards
What antibiotic would you usually prescribe for patients that have a Bronchiectasis diagnosis?
AMoxicillin
For patients with long term severe Bronchiectasis what long term medication may that be on?
Antibiotics
What is the first test that you should do if you suspect your patient has asthma?
A peak flow test
What test should you carry out after a peak flow test?
Spirometry
What position should your patient be in when they carry out a peak flow?
Standing up position
What type of blow should a patient do when carrying out a peak flow?
Short and sharp breath, like shooting a dart
What does a spirometry test measure?
The amount of air you can blow out of your lungs and how fast you can blow it out
What can spirometry help you determine?
Whether the patient has an obstructive or restrictive defect
Can every patient carry out a spirometry?
No, if they have underlying health conditions they shouldn’t carry it out e.g., angina, heart problems, pneumothorax or a late term pregnancy
What factors are associated with a patients predicted spirometry graph?
Age, sex and height
Once you have done the initial spirometry what should you do next?
Administer a bronchodilator and repeat the test
What type of defect will have a larger reduction in FEV1?
Obstructive airway defect
How long should you wait after administering a SABA to redo the spirometry?
15 minutes
What are the first line treatments for patients that have just had an asthma diagnosis?
~Start ICS for 6 weeks
~Complete serial peak flow readings
What are the 4 different types of treatment that we use to treat asthmatic patients?
~Short acting beta 2 agonists (SABAs)
~Long acting beta 2 agonists (LABAs)
~Muscuranic antagonists
~Inhaled corticosteroids (ICS)