Respiratory updates - Use of peak flow, Inhaler technique questions (7 steps), SMRs

Maximising the use of Peak Flow monitors: 

I know many of you I’ve been speaking to are relying more on Peak Expiratory Flow Rate (PEFR) readings to help with providing objective readings in people with suspected/diagnosed asthma or COPD. Also, for monitoring purposes in asthma alongside a personalised asthma action plan (PAAP). You may find this presentation useful (by Dr Vince Mak integrated respiratory consultant) and article by Dr Duncan Keeley (attached) – both Primary Care Respiratory Society Executive Committee members.

https://vimeo.com/461939099/d7d171aef2 

  Other useful links (for supporting patients) 

 https://www.asthma.org.uk/advice/manage-your-asthma/peak-flow/ 

https://www.asthma.org.uk/advice/resources/ 

http://www.peakflow.com/pefr_normal_values.pdf (remember to identify what the persons personal best PEFR and compare with their normal where info is available on records) 

http://www.peakflow.com/paediatric_normal_values.pdf 

https://www.asthma.org.uk/advice/understanding-asthma/what-is-asthma/ 

  7 Steps to good inhaler technique:

Exploring questions (by Darush & BLF/AUK) that can be used to identify potential inhaler technique errors 

 https://www.respiratoryfutures.org.uk/media/69775/ukig-inhaler-standards-january-2017.pdf 

  Structured Medication Reviews (SMR):

Some useful slides presented by a Clinical Director in NW London exploring respiratory components of an SMR