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Meta
Category Archives: Respiratory
Palliative care in end-stage chronic respiratory disease
(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
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Flozins and COPD inhalers
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
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Idiopathic pulmonary fibrosis
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
Posted in Credits 2018, Respiratory
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Community-acquired pneumonia; a couple of points
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 The most important one is that I’m out of date on my CRP thresholds.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
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Noisy breathing in newborns
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
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COPD algorithm
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
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Community acquired pneumonia in children
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
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