Topics in Respiratory version 4

• Getting to know your respiratory drugs
• Inhalational drug delivery devices
• Asthma: treatment of an acute attack
• Chronic obstructive pulmonary disease
• Guide to pulmonary function testing and thoracic imaging
• Cough
• Rhinitis and rhinosinusitis
• Croup
• Acute bronchiolitis
• Cystic fibrosis
• Bronchiectasis
• Interstitial lung disease
• Pleural disease
• Sleep-disordered breathing
• Oxygen therapy
• Noninvasive ventilation
• Fitness for surgery
• Fitness to fly
• Fitness to scuba dive
• Lung transplantation
• Pregnancy and breastfeeding
• Sources of information
• Abbreviations

Getting to know your respiratory drugs

• Beta₂ agonist bronchodilators
  • Short-acting beta₂ agonists
  • Long-acting beta₂ agonists
• Anticholinergic bronchodilators
• Corticosteroids: use in respiratory disease
  • Inhaled corticosteroids
  • Intranasal corticosteroids
  • Systemic corticosteroids in respiratory disease
• Cromolyns
• Leukotriene receptor antagonists
• Theophylline
• Omalizumab
• Neuraminidase inhibitors
• Antihistamines
• Mucolytics
• Decongestants
• Cough and cold preparations
• Use of respiratory drugs in competitive sport
• Drug-induced lung disease

Inhalational drug delivery devices

• General principles for inhalational devices
  • Importance of correct technique
  • Device choice
  • Use of devices in children
• Pressurised metered dose inhalers
• Spacer devices
• Breath-activated metered dose devices
• Dry powder inhalers
• Nebulisers
• Summary table of inhalational devices
• Asthma: general principles of management
• Diagnosis of asthma
• Asthma control and severity
• Achieving good asthma control
  • Trigger factors
  • Drug treatment for asthma
  • Other aspects of asthma management
• Primary risk factors for asthma

Asthma: treatment of an acute attack

• Risk factors and assessment
• Treatment

Chronic obstructive pulmonary disease

• Pathophysiology
• Assessment of COPD
• Management of chronic stable COPD
• Acute exacerbations of COPD

Guide to pulmonary function testing and thoracic imaging

• Pulmonary function tests
• Thoracic imaging

Cough

• Acute cough
• Persistent cough
• Persistent cough in ‘at risk’ individuals
• Chronic productive cough
• Chronic nonproductive cough
• Nonspecific management of cough

Rhinitis and rhinosinusitis

• Rhinitis
• Rhinosinusitis

Croup

• Assessment
• Management

Acute bronchiolitis

Cystic fibrosis

• Lower airway infection
• Chest physiotherapy in cystic fibrosis
• Aerosolised mucolytics
• Inhaled bronchodilators
• Anti-inflammatory treatment
• Allergic bronchopulmonary aspergillosis
• Adherence to treatment in adolescence

Bronchiectasis

• Clinical features and diagnosis
• Management

Interstitial lung disease

• Idiopathic pulmonary fibrosis
• Nonspecific interstitial pneumonia
• Interstitial lung disease associated with autoimmune disease
• Other interstitial pneumonias
• Sarcoidosis
• The pneumoconioses
• Extrinsic allergic alveolitis (Hypersensitivity pneumonitis)
• Drug-induced interstitial lung disease
• Radiotherapy-induced alveolitis
• Paediatric interstitial lung disease

Pleural disease

• Pleuritic pain
• Pneumothorax
• Pleural effusion
• Malignant mesothelioma

Sleep-disordered breathing

• Adult sleep-disordered breathing
  • Obstructive sleep apnoea
  • Central sleep apnoea
  • Obesity hypoventilation syndromes
  • Overlap syndrome
• Paediatric sleep-disordered breathing
  • Classification
  • Diagnosis
  • Treatment of childhood sleep-disordered breathing

Oxygen therapy

• Principles of oxygen administration
• Acute oxygen therapy in adults
  • Indications
  • Oxygen in patients at risk of hypercapnia
• Domiciliary oxygen therapy

Noninvasive ventilation

• Indications
• Contraindications to noninvasive ventilation
• Instituting treatment
• Treatment failure
• Ceasing noninvasive ventilation

Fitness for surgery

• Nature of the risks
• Risk groups
• Assessment
• Postoperative management

Fitness to fly

• Cabin environment
• Effects of reduced oxygen pressure
• Pre-flight assessment
• In-flight oxygen therapy
• In-flight continuous positive airways pressure

Fitness to scuba dive

• Respiratory conditions affecting fitness to scuba dive
• Assessment

Lung transplantation

• Issues in long-term management
• Infection
• Prevention of lung rejection
• Immunosuppressant drugs and their adverse effects
• Drug interactions in lung transplant patients
• Treatment of lung rejection

Pregnancy and breastfeeding

• Pregnancy and respiratory drugs
• Breastfeeding and respiratory drugs

Sources of information

• Patient support and information groups
• Institutions and professional organisations

Abbreviations

Electronic version

Therapeutic Guidelines: Respiratory is available in electronic format as part of eTG complete.