Category Archives: Respiratory

Palliative care in end-stage chronic respiratory disease

Posted on April 29, 2019 by

(COPD, interstitial lung disease, CF, etc.) 1st-line: Small hand-held fan to blow air on face. (Not much evidence that it works in the palliative care setting, but has the benefit of being cheap and simple, so worth a try.) 2nd-line: … Continue reading →

Posted in Palliative care, Respiratory | Leave a comment

Flozins and COPD inhalers

Posted on November 18, 2018 by

That’s two separate subjects, not one, whose link here is that they were both the topics of useful papers in this week’s BMJ. The first was on possible adverse effects of flozins (sodium-glucose cotransporter-2 inhibitors). The paper was a very … Continue reading →

Posted in BMJ, COPD, Credits 2018, Diabetes, Endocrinology, Medication, Respiratory | Leave a comment

Idiopathic pulmonary fibrosis

Posted on August 13, 2018 by

Quick refresher in May’s BJGP: Interstitial lung disease, characterised by progressive scarring of the lungs Typically presents in 6th or 7th decade Presents with persistent progressive breathlessness, with or without cough Signs include finger clubbing and velcro crackles – not … Continue reading →

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Community-acquired pneumonia; a couple of points

Posted on August 5, 2018 by

So, I was reading an article on CRP in the March 2018 BJGP, and a couple of interesting things came up. The most important one is that I’m out of date on my CRP thresholds. I was still using the … Continue reading →

Posted in Credits 2018, Infectious Diseases, Respiratory | Leave a comment

Noisy breathing in newborns

Posted on August 2, 2018 by

Periodic increases/decreases in breathing sounds are normal in babies. Wheeze: Can be infection (mild or serious) or heart failure. Check for signs of heart problems; murmur, absent femorals, etc. Check sats. Normal sats and normal feeding are reassuring. If any … Continue reading →

Posted in Paediatrics, Respiratory | Leave a comment

COPD algorithm

Posted on September 8, 2017 by

This is our practice algorithm for COPD treatment: Treat intermittent symptoms with a SABA. If more severe, differentiate between low-risk and high-risk patients. Low-risk patients are those with: FEV1 >50% <2 exacerbations/yr For low-risk patients: First-line treatment: LAMA If symptoms … Continue reading →

Posted in COPD, Credits 2017, Medication, Respiratory | Leave a comment

Community acquired pneumonia in children

Posted on March 10, 2017 by

Signs of severity Temperature 38.5 or greater RR >70 in infants or >50 in older children Moderate to severe recession in infants Severe dyspnoea in children Nasal flaring Grunting Intermittent apnoea in infants Sats <95% (this was what the BMJ … Continue reading →

Posted in Credits 2017, Paediatrics, Respiratory | Leave a comment