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.
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: