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module menu icon MUR and NMS consultation tips

  1. Checking inhaler technique is very important, as is teaching good technique where required. Pharmacy technicians can use the InCheck device to check patient inhalation technique
  2. Does the patient know how to tell if their inhaler
    is nearly empty?
  3. Is the patient experiencing any side effects?
  4. All patients who smoke should be offered support
    to stop
  5. Help the patient understand the chronic and progressive nature of their disease
  6. Advise patients on signs of exacerbation, such as worsening breathlessness and/or cough, increased sputum volume and/or change in sputum colour, and tightening of the chest
  7. If the patient has rescue medication, inform them to take this as soon as they recognise the exacerbation symptoms
  8. Generic prescribing can lead to a choice of devices – find out which inhaler type your patient requires and mark on the PMR
  9. Theophylline medicines are not bio-equivalent – patients require a consistent brand of medication
  10. Many patients suffer from anxiety and depression because of their condition. They may benefit from referral to a GP if you have concerns about their wellbeing, or they may benefit from participation in an expert patient programme
  11. Make sure the patient understands the signs of an exacerbation and how to manage it
  12. Ask the patient during the flu season if they have received the influenza vaccine. Reinforce the benefits of this
  13. Patients on long-term oral steroids or high dose inhaled steroids should be given a steroid warning card.
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