Pharmaceutical Care of Respiratory Patients I (Role of Pharmacist in Community) Flashcards Preview

PM2D Spring Amy L > Pharmaceutical Care of Respiratory Patients I (Role of Pharmacist in Community) > Flashcards

Flashcards in Pharmaceutical Care of Respiratory Patients I (Role of Pharmacist in Community) Deck (39)
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1

List 8 red flag symptoms for respiratory conditions

  1. Chest pain/pain on breathing
  2. Wheezing/SOB
  3. Recurrent cough
  4. Chronic cough >3 weeks
  5. Weight loss
  6. Fever
  7. Purulent (pussy) sputum
  8. Haemoptysis (coughing blood)

2

What 3 things should be recommended for patients with respiratory diseases who have a cold?

  1. Paracetamol
  2. Honey and lemon
  3. Steam inhalation

3

What should asthmatics avoid when they have a cold?

NSAIDs

4

What should be avoided by patients with respiratory diseases who have a cold?

Respiratory depressants - no cough suppressants or antihistamines

5

What medication can patients with COPD take if they suffer from a strain or sprain?

  • Can use NSAIDs if no other cautions/contra-indications
  • Paracetamol

6

What medications can asthmatics take if they suffer from a strain or sprain?

  • Paracetamol
  • Co-codamol if respiratory function is okay
  • No NSAIDs

7

What should asthmatics not use for head lice?

Alcoholic solutions - evaporating alcohol can irritate lungs and cause wheezing

8

What is it recommended that asthmatics should use for head lice?

Aqueous solutions - don't irritate skin or lungs e.g. Hedrin`

9

What is it recommended that patients with RDs should take for hayfever?

  • Non-sedating antihistamine e.g. cetirizine, loratidine
  • Topical preparations e.g. nasal corticosteroids, eye drops

10

What kind of antihistamine is it not recommended for patients with RDs to take for hayfever?

Sedating antihistamines - not recommended in respiratory conditions due to anticholinergic effects (block action of ACh)

11

Name 6 conditions respiratory patients may present with

  1. Tremor/palpitations
  2. Tiredness
  3. Nausea
  4. Heartburn
  5. Insomnia
  6. Thrush

12

What could tremor/palpitations be caused by in patients with RDs?

  • Salbutamol and theophylline (treat and prevent wheezing)
  • Review treatment

13

What could tiredness be caused by in patients with RDs?

  • Deterioration in COPD - lack of oxygen
  • Refer

14

What could nausea be caused by in patients with RDs?

Side effects of drugs e.g. theophylline

15

What could heartburn be caused by in patients with RDs?

  • Oral prednisalone or theophylline
  • Treat with antacid/omeprazole

16

What could insomnia be caused by in patients with RDs?

Theophylline - check plasma levels

17

What could thrush be caused by in patients with RDs?

  • Effects of antibiotics and steroids
  • Treat with miconazole oral gel or fluconazole

18

List 3 OTC preparations that theophylline interacts with

  1. Cimetidine - treating and preventing ulcers in the stomach/small intestine, GORD
  2. Fluconazole - treat fungal and yeast infections
  3. St John's Wort

19

How does theophylline interact with cimetidine and fluconazole?

Causes increased levels of theophylline

20

How does theophylline interact with St John's Wort?

Decreased levels of theophylline

21

Explain the asthma action plan (SMILE)P

  • Stop smoking
  • Monitoring
  • Inhaler technique
  • Lifestyle
  • Education
  • Pharmacotherapy (therapy using pharmaceutical drugs)

22

Why should sufferers of respiratory diseases stop smoking?

  • Smokers respond less to asthma treatment
  • Reduces rate of decline of COPD and improves survival rate

23

Why are smokers at greater risk of theophylline toxicity?

Smokers require higher doses of theophylline so there is an increase in serum theophylline concentrations, and possibly toxicity

24

Define: LABA

  • Long-acting beta agonists
  • Bronchodilator medication, opens airways in lungs by relaxing smooth muscle around airways
  • Long-term control medication

25

What does ICS stand for?

Inhaled corticosteroids

26

How do ICSs work?

Act locally in the lungs to inhibit the inflammatory process which causes asthma

27

What should LABAs also be prescribed in conjunction with?

ICSs, ideally in a single inhaler

28

Who should ICSs always be prescribed for?

For all symptomatic people with asthma

29

What group of patients should never be prescribed ICSs as monotherapy?

COPD

30

Name a lifestyle change that can improve a COPD sufferer's quality of life

Exercise