Symptoms In Pharmacy

Question 1

Common ailment formulary is your best friend

Question 2

Common Ailment scheme is…

Answer 2

Free treatment of 26 conditions in the formulary from a pharmacy

• you must be registered in the pharmacy
• a consultation is needed
• after consultation, management and advice given

Question 3

Who is not part of the common ailment scheme?

Answer 3

Patients over 60,
Pregnant/Breastfeeding patients
Recurring condition

Question 4

What is choose pharmacy?

Answer 4

An electronic data records system which community pharmacists have access to

Question 5

Cold symptoms

Answer 5

Congestion
Itchy/watery eyes
Feeling tired
Cough
Runny nose
Sore throat
Headache

Tends to be milder than flu, you know you have an infection once your mucus becomes thick and darker

Question 6

Flu symptoms

Answer 6

Fever
Body aches
Extreme fatigue

Question 7

Caused by virus indicates…

Answer 7

It is self limiting, in 2-3 days it will pass with healthy eating and drinking. No drugs will speed up the healing process, only there to manage symptoms

Question 8

What are the two possible complications of common cold?

Answer 8

Sinusitis, acute otitis media (ear infection) and lower respiratory tract infection

Question 9

Seasonal influenza complications are respiratory, some of these are

Answer 9

Acute bronchitis
Pneumonia
Sinusitis

Question 10

Uncomplicated influenza symptoms include:

Answer 10

Inflammation
Nasal discharge
Muscle/joint pain
Sore throat + headache

Question 11

Who is most at risk to seasonal influenza?

Answer 11

65 <
Chronic respiratory disease, heart, kidney, liver disease
Diabetes
Obese
Pregnant
< 6months

Question 12

How do you manage influenza?

Answer 12

Drink adequate fluid
Paracetamol and ibuprofen to relieve and rest
Stay off work (~week)

Question 13

Meningitis symptoms check

Answer 13

Rolling a rash with a glass - if it doesn’t disappear
Achy neck

Question 14

What does acute mean?

Answer 14

Less than 3 weeks

Question 15

Croup (laryngotracheobronchitis) is a childhood disease, what are the mild symptoms ?

Answer 15

Viral infection:

Seal-like coughing
No stridor
Sternal at rest

Question 16

What are moderate croup symptoms?

Answer 16

Seal-like cough with stridor
Sternal recession at rest
No agitation or lethargy

Question 17

What are severe croup symptoms?

Answer 17

Seal like barking cough with stridor
Sternal recession working and agitated/lethargic

Question 18

Whooping cough (bordetella pertussis) can last for…

Answer 18

Incubation can last for 7 days and then actual infection can last for 3 weeks

Highly infectious

Question 19

Mouth ulcer questions

Answer 19

How long?
Painful?
Affected area?/how many?
New medication?
Other symptoms?

Question 20

Mouth ulcer can be caused by

Answer 20

Unknown

But can be anaemia/iron deficiency
Hypersensitivity
Psychological stress

Question 21

What can help mouth ulcers?

Answer 21

Saline solution

Antiseptic (chlorhexidine)
Anti-inflammatory (benzydamine)
Steroid (hydrocortisone)

Question 22

When should you refer a mouth ulcer?

Answer 22

Longer than 3 weeks
Feels harder around edges
Painless (cancerous)
Grows bigger
Back of throat or bleeding

Question 23

Dyspepsia (indigestion) symptoms

Answer 23

Upper abdominal pain
Burning sensation starting in stomach
Gastric acid reflux
Nausea or vomiting

Question 24

Dyspepsia causes

Answer 24

Peptic ulcer disease
Gastro-oesophageal reflux disease
Barrett’s oesophagus
Over eating
Pregnancy

Question 25

How do you manage dyspepsia?

Answer 25

Lifestyle choices - fitness, diet, less coffee+chocolate Antacids - compounds that neutralise stomach acid (calcium carbonate) Alginate - bubbles in acid and forms a raft on top of stomach to stop acid from refluxing

Question 26

Nausea and vomiting risks

Answer 26

Very young and very old watch out for dehydration Pregnancy Longer than 2 days in healthy people is cause for alarm

Question 27

What is considered constipation?

Answer 27

Only pooing 3 times a week

Question 28

What are constipation symptoms?

Answer 28

Abdominal discomfort Cramping Bloating Nausea Straining

Question 29

Haemorrhoids risks factors

Answer 29

Pregnancy Heavy lifting Chronic cough Constipation Anaemia

Question 30

Haemorrhoids treatment

Answer 30

Self-limiting (go within a week) Lifestyle Analgesia Local anaesthetics

Question 31

When does teething happen?

Answer 31

4-12 month old infants

Question 32

What are some indications of teething?

Answer 32

Red gums, more biting, dribbling, chewing, ear-rubbing, decreased appetite If the infant has a temperature is when you refer to GP 38C <

Question 33

What do you offer to a teething infant?

Answer 33

Calpol/paracetamol, not for anyone >3months or less than 5kg Offer to parents the cry-sis website or advise on how to deal with teething

Question 34

What are indications of threadworm?

Answer 34

Itchy anus, as eggs are laid there. Scratch bum and spread eggs wherever child touches. May be visible in stools

Question 35

What are treatment for threadworms?

Answer 35

Extreme hygiene measures. Most likely in bedroom Mebendazole (only if over 6month) A second dose can be given if re infection is suspected. Treat every family member.

Question 36

What is colic?

Answer 36

Indigestion, trapped wind or temporary gut sensitivity

Question 37

How do you relieve colic?

Answer 37

ADVICE ONLY, no treatment. Use cry-sis website. Hold baby on their stomach. Be aware of other indications with similar problems

Question 38

What is the treatment for head lice

Answer 38

Detection comb, wet combing or dimeticone 4% lotion (Hedrin children >6months)

Question 39

What are indications of nappy rash?

Answer 39

Rash around the buttocks and thighs area

Question 40

Prolonged contact with a urine nappy can cause Candida fungal infection

Question 41

What are the treatments of nappy rash?

Answer 41

Zinc and Castor oil cream - thin layer over rash Hydrocortisone 0.5% cream - must be older than 1month, no more than 1 a day for 7 days. (Last resort) PGD extremely specific. If infection suspected then clotrimazole 1% cream. Do not use zinc and castor until the infection stops. DO NOT APPLY TOGETHER. ONE THEN ALLOW IT TO ABSORB FOR 20MIN THEN THE OTHER OIL AND THEN NAPPY

Question 42

Oral thrush symptoms

Answer 42

Scabby/cheese looking on tongue. Wipe with a clean wipe and observe if white rubs off but leaves inflamed red scabs.

Question 43

Treatment for oral thrush

Answer 43

Miconazole oral gel - interacts with warfarin (consider mostly in adults). 7 day treatment. Nyastatin Application - Wash hands, apply a bit on tip of finger and wipe it over the patches. Ensure child doesn’t swallow to increase exposure