Patient request | ‘Could I buy a Ventolin® please?’ | |
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Possible questions and answers based on WWHAM guidelines | Who is the patient? | ‘Me’ |
What are the symptoms? | ‘Breathlessness’ | |
How is your asthma? | ‘I have been feeling a bit breathless lately’ | |
How long have you had asthma/symptoms? | ‘Had asthma for years but getting worse over the last month’ | |
What treatments have you tried for these symptoms? | ‘I use Ventolin metered dose inhaler and Seretide metered dose inhaler’ | |
Do you have any other medical conditions/medications? | ‘No’ | |
Do you have any allergies? | ‘No allergies’ | |
Additional information | Asthma has been getting worse over last month | |
For the last month has been using Ventolin 2 puffs once every day to relieve symptoms | ||
Has been using Seretide regularly at a dose of 2 puffs twice a day for 2 years | ||
The last time they saw a physician/doctor was ‘ages ago’ | ||
Has not ever been admitted to hospital with asthma before | ||
Does not have a written asthma action plan | ||
Does not know the ‘rule of 4′s’—what to do in an emergency | ||
Trigger factors for asthma include pet hair and pollen | ||
Ventolin=salbutamol 100 μg per actuation (blue inhaler) Seretide=fluticasone/salmeterol 250 μg/25 μg per actuation (purple inhaler) | ||
Inhaler technique | If inhaler technique is assessed, the inhaler is not shaken before use and the breath is not held after inhalation | |
Appropriate outcome |
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WWHAM, Who, What, How long, Action taken, Medication.