RESPIRATORY

SPIROMETRY NOTES

NICE COPD GUIDELINE 2010

PATIENT.CO.UK DIAGNOSING COPD http://www.patient.co.uk/showdoc/40025262/

MANAGEMENT PLAN FROM ASTHMA.ORG.UK http://www.asthma.org.uk/how-we-help/publications/publications-for-healthcare-professionals-and-organisations/

http://www.asthma.org.uk/Sites/healthcare-professionals/pages/self-management-materials

LATEST ASTHMA GUIDELINES http://www.brit-thoracic.org.uk/guidelines/asthma-guidelines.aspx

ALLERGIC RHINITIS GUIDELINE http://www.pcrs-uk.org/opinions/allergic_rhinitis_final.pdf

DIAGNOSIS AND MANAGEMENT OF COPD IN PRIMARY CARE [BOOKLET]

SPIROMETRY NOTES 2

MANAGEMENT OF COPD IN PRIMARY CARE ELMMB

SPIROMETRY SPIROBANK PRINTOUT SAMPLE

OBSTRUCTION  FEV down FEV/FVC down FVC normal [copd] Ratio in copd gives severity mild mod severe   [about = to  FEV% of predicted which qof use as measure of severity]

RESTRICTION FEV down FEV/FVC normal FVC down [various fibrosing lung disorders chest wall problems large abdominal swellings]

MIXED FEV down FEV/FVC down FVC down  [obstruction+restriction or very severe obstruction]

If you are always breathless that is COPD. If you are sometimes not breathless that is asthma; if you are always breathless and then get more breathless this could be COPD or asthma. Do reversibility when breathless [ or a PF Dairy] to distinguish.

SPIRO TRAINING NOTES

WELCH ALLYN SPIROMETRY REFERENCE CHART

RECOGNISING DANGEROUS ASTHMA LEAFLET

NICE COPD GUIDELINES 2010 Dr J O'Reilly Liverpool

Poor Asthma Control Dave Burns Respiratory Education UK

Respratory Disease and Allergy Mo Al-Aloul and Prof Adnan Custovic

ASTHMA AND ALLERGIC RHINITIS

Website Allergyuk org

REFERRAL FORM TO COPD COMMUNITY NURSES

NW RESPIRATORY CLINICAL PATHWAY TEAM HAVE PRODUCED A COPD MANAGEMENT IMPROVEMENT PLAN A BREATH OF FRESH AIR CLICK ON THIS TEXT  3 top points Flu jags Smoking Cessation and referrral for Pulmonary Rehab

ANOTHER SPIROMETRY CRIB SHEET

NEBULISER SERVICE FOR COPD

ASTHMA UPDATE  DR VYAS MAY 2013

REDUCING UNSCHEDULED ADMISSIONS IN ASTHMA AND COPD

SPIROMETRY E GUIDE

ASTHMA E GUIDE CHILDREN

ASTHMA E GUIDE ADULTS

ASTHMA PATHWAY ANNEX PAGES   [ADULT ASTHMA]

MRC DYSPNOEA SCALE

PATIENT SPIROMETRY CHECKLIST

SPIROMETRY INTERPRETATION

COPD UPDATE DR IMRAN SATIA DEC 2013

PEDIATRIC ASTHMA EWOOD 20 3 14 NOTES

ASTHMA MANAGEMENT PLAN FOR EMERGENCY USE

ADULT ASTHMA DR VYAS APRIL 2014

SITES 2014

asthma http://sign.ac.uk/guidelines/fulltext/141/index.html
copd http://www.nice.org.uk/guidance/CG101

Asthma and COPD https://www.brit-thoracic.org.uk/  https://www.brit-thoracic.org.uk/ 
https://www.brit-thoracic.org.uk/document-library/clinical-information/asthma/btssign-asthma-guideline-2014/

CLASS HEALTH

Respiratory Pack

Providine COPD management  in Primary Care

ASTHMA QUESTIONS

INTERPRETATION OF SPIROMETRY STUDY DAY 24 2 15

TAILORING INHALERS

WRITTEN ASTHMA PLAN

ASTHMA CONTROL TEST

INHALERS GUIDE  http://www.mims.co.uk/inhalers-guide-breath-actuated-devices/respiratory-system/article/882447

ASTHMA COPD PREPS AND DEVICES  http://www.mims.co.uk/asthma-copd-preparations-compatible-devices/respiratory-system/article/882435

RESPIRATORY UPDATE 11 6 15  END OF LIFE CARE IN COPD MANAGEMENT OF COPD

http://www.ggcprescribing.org.uk/media/uploads/prescribing_resources/inhaler_indentification_guide_-_1310.pdf

ELMMB COPD MANAGEMENT http://www.elmmb.nhs.uk/search/?q=copd

SPIROMETRY INTERPRETATION FLOWCHART

COPD INHALER DEVICES

COPD NOTES 24 11 15

DR MMs COPD CRIB SHEET

DR MMs PAEDIATRIC ASTHMA CRIB SHEET

DR MMs ADULT ASTHMA CRIB SHEET

INHALER TECHNIQUE VIDEOS http://wessexahsn.org.uk/videos/show?tag=Inhaler+Technique

MEDICONF ASTHMA 2016

MEDICONF COPD 2016

http://goldcopd.org and http://ginasthma.org    GUIDELINES

https://ukiginhalerstandards.educationforhealth.org/

https://www.youtube.com/watch?v=Ae5lTVJTaHw

HOME COPD TEAM 2018

COPD

As well as smoking cessation diet pulmonary rehab and in severe cases oxygen

Drugs are  for dyspnoea and to prevent exacerbations

Mild   short  acting   saba sama

More severe long acting   laba lama combination if exacerbations  all 3 lama laba ics

Eosinophil count 0.4 or more = more inflammation use all 3

Exacs   dyspnoea white spit Prednisolone  coloured spit add antiobiotic

ASTHMA CLINICS GUIDELINE

Acute cough, bronchitis

 

Antibiotics offer little benefit if no co-morbidity.

Consider immediate antibiotics if older than 65 years with ACUTE COUGH AND two or more of the following:

 

• hospitalisation in previous year

• type 1 or type 2 diabetes

• history of congestive heart failure

• current use of oral glucocorticoids

• older than 80yrs.

 

For other patients consider 7-14 day delayed antibiotic with symptomatic advice/leaflet.

 

Note : Symptom resolution can take 3 weeks.

 

First line

 

Amoxicillin  500mg three times daily

 

 Duration: 5 days. 

 

Second line or If allergic to penicillin

Doxycycline  200mg on first day then 100mg daily

 Duration: 5 days. 

 

 Ref NICE CG 69

 

ASTHMA MANAGEMENT UNDER 5

 

ASTHMA MANAGEMENT 5-16

 

ASTHMA MANAGEMENT  ADULT

 

ASTHMA MANAGEMENT STEP DOWN

 

COPD MANAGEMENT

 

WRITTEN ASTHMA PLAN