Obstructive Airways Disease. Asthma and COPD. Definitions:. Asthma: It's a chronic respiratory condition that causes the airways to constrict become inflamed and collect mucus. It can be triggered by natural allergens, cigarette smoke, pets, exercise or emotional stress.
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Asthma and COPD
All health professionals should be competent in the interpretation of the results
A raised venous pressure, a systolic parasternal heave and loud second heart sound.
These patients need to be considered for LTOT, diuretics, ACE inhibitors, calcium channel blockers, alpha blockers and Digoxin
AT LEAST TWICE A YEAR IN GP PRACTICE
Need spirometry once a year etc.
Use short acting bronchodilator prn
(either beta-2-agonist or anticolinergic)
If still symptomatic, try combined therapy with a short-acting
beta-2-agonist and short-acting anticolinergic
If still symptomatic, use a long-acting bronchodilator
(beta-2-agonist or anticolinergic)
In moderate or severe COPD: If still symptomatic,
consider a combination of a long-acting beta-2-agonist and inhale
corticosteroid (discontinue if no benefit after 4 weeks)
If still symptomatic- consider adding theophylline
Consider mucolytic agents if patient complains
of thick, tenacious sputum which is hard to cough up
FEV1 ≤50% predicted and two or more exacerbations a year
Assess symptoms/ problems of a patient with COPD and manage as described below:
Ideas for audit towards appraisal/ revalidation are: