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
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
SPIROMETRY INTERPRETATION FLOWCHART
DR MMs PAEDIATRIC ASTHMA CRIB SHEET
DR MMs ADULT ASTHMA CRIB SHEET
INHALER TECHNIQUE VIDEOS http://wessexahsn.org.uk/videos/show?tag=Inhaler+Technique
http://goldcopd.org and http://ginasthma.org GUIDELINES
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
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.