Asthma Lecture Flashcards
(18 cards)
1
Q
What to make sure you mention in asthma review?
A
- Written asthma action plan - individualised to child
- Use Asthma and Lung UK website plan template
- Can also watch videos on Asthma and Lung UK
- Specific inhaler leaflet
2
Q
What to ensure to cover re education of asthma?
A
- How to use inhaler
- When to use inhaler
- When to get help
3
Q
Managment of babies with asthma and how to give inhaler
A
- Baby needs spacer + mask (eg volumatic)
- For baby, need to tilt mask down to open valve and allows medication to be inhaled
- Seal around babys mouth and nose
- Before giving inhaler - shake it (takes 10-15s for propellant and meds to mix)
- Wait for 5-8 breathes per puff, around 10 seconds (do one puff at a time)
- Shake again before second puff
4
Q
How often to change spacer?
A
- Change every 6 months
- Clean regularly
5
Q
How to clean spacer?
A
- Soapy water
- Rinse out
- Let it air dry on kitchen roll - don’t want to increase static charge on inside spacer - medication that goes in then sticks onto inside of spacer rather than inhaled
6
Q
How to use aerochamber vs volumatic?
A
- Clean them
- Don’t need to worry about static charge
- Don’t need to tilt them for babies
7
Q
Management of toddler with asthma
A
- May need mask or just mouthpiece
- If can move valve with technique then allow mouthpiece (you can hear valve)
8
Q
Management of school age children with asthma
A
- Spacer usually with mouthpiece
- Always use spacer with inhaled steriod - reduces side effects of oral thrush/hoarse voice
- In 5+ can consider turbohaler (powder device)
9
Q
How to use turboinhaler
A
- Remove top
- Hold upright
- Twist one way as far will go and back - will click
- Put into mouth and inhale
10
Q
How to know when inhaler empty?
A
- Counter on the container goes red when 4-5 left
- Apart from ventolin (blue inhaler)
11
Q
How to know when blue inhaler is getting low?
A
- Difficult to tell
- Put on calender day started it
- 200 puffs per inhaler - try to keep track?
12
Q
How to know if turbohaler is suitable for someone?
A
- Trainers that whistle - if suitable makes noise if can breathe properly
13
Q
What is Easibreathe?
A
- Aerosol inhaler
- Breath activated
- Good for children aged 8+ usually because of this
14
Q
How to use Easibreathe?
A
- Shake it well with lid on
- Take lid off
- Breathe in
15
Q
What can you do with EasiBreathe if someone has asthma attack?
A
- Can take lid off easibreathe, can use as normal inhaler (can put into spacer
- Then can do up to 10 puffs for asthma attack
16
Q
How to use peak flow?
A
- In L/min
- Get child to stand up
- Put counter to zero
- Inhale deeply away from device
- Puff as hard and as fast as they can into peak flow
- Record highest of 3 blows
17
Q
Doing peak flow after salbutamol
A
- Do pre and post
- 15 mins after dose
- Re-do reading
18
Q
How to know what someone should be achieving on peak flow?
A
- Height - graph for this specific for children (Godfrey et al)
