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5 Cards in this Set
- Front
- Back
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How would you explain asthma to the patient? |
- Gaige their understanding - A reversible, inflammatory disease of the lungs that causes airways to become obstructed - Causes the airways to become inflamed and narrow - When air is warm, moist and free from irritants/allergens, the tubes that lead into the lungs expand, allowing good air flow in and out - When air is cold, dry or contains irritants/allergens, the tubes that lead into the lungs contract, allowing less air flow in and out - In those with asthma, the airways are frequently inflamed and swollen, and certain substances can cause these inflamed airways to react even more, otherwise known as an asthma attack |
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What educational requirements do they have? |
- Inhaler technique - Identifying their own triggers - How to measure peak flow - Smoking cessation - Exercise - Weight management - Anti-histamines to treat allergies - Bone protection from use of steroids - exercise and diet high in calcium - How to identify and deal with an asthma attack |
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What can they expect from future annual reviews/follow up? |
- 12 monthly annual reviews - 6-8 week review if change in treatment re steroids - Review post asthma attack (if patient informs or attends hospital) |
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How would you manage this patient? |
- Height, weight, BMI, BP, pulse, bloods, smoking status, alcohol, diet, exercise, mobility - Symptoms/steroids - how well are they controlled? (Asthma Control Test, 25 or over = controlled), how many courses of oral steroids in the past 12 months? - Inhaler technique - Measuring peak flow - Pharmacotherapy - how many SABA inhalers used in the last 12 months? (2-6 is appropriate) - Lung function - peak flow and/or spirometry, advice on avoiding triggers, having vaccines (flu and pneumo) - Education - how to measure peak flow, what is good control, how to recognise deterioration and what to do, have an asthma action plan - Support - parents and carers too |
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How would you advise this patient to self-manage? |
- Understanding the disease - Recognising symptoms of exacerbation and taking action - Measure peak flow to identify baseline and if symptoms worsen - Exercise - Using medications correctly - Taking immunisations when offered - Eating well - Attending reviews - Signpost to: RightBreathe App, YouTube videos for inhaler technique |
