OSCE Toolbox

By Amina Adnan • July 02, 2024 • Last reviewed: 24/09/24 •

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Summary Beginner

In this scenario, the student is expected to ask relevant questions to gauge how the patient is coping with their new medication - Beclometasone dipropionate (Clenil Modulite) inhaler.

Please ensure that this scenario and mark scheme aligns with the most up-to-date guidelines from the UK NICE and the BNF when using it for your OSCE assessment.

You will need a student pharmacist and an actor for this OSCE station.

Revision Topics

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Student Instructions

Actor Instructions

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Mark Scheme

Referral Criteria

Referral Criteria for Asthma

A&E

Severe Asthma Attack: Symptoms include severe breathlessness, inability to speak in full sentences, significant worsening of symptoms despite using a reliever inhaler, or signs of cyanosis. This can be life-threatening.
Respiratory Distress: Severe difficulty breathing, rapid breathing, use of accessory muscles, and signs of hypoxia. This can be life-threatening.
Failure to Respond to Treatment: No improvement after using a high-dose reliever inhaler (E.g. Salbutamol), or if the patient has rapidly worsening symptoms. This needs immediate medical intervention.

Urgent GP Appointment

Frequent nighttime symptoms of coughing, frequent use of reliever inhaler, or breathlessness significantly impacting daily activities: This may be a sign of uncontrolled asthma.
Medication Review: Concerns about the efficacy or side effects of current asthma medications, or if there is a need for a review of the treatment regimen.
Frequent Exacerbations: Multiple asthma attacks or exacerbations within a short period that require medical attention. This may be a sign of uncontrolled asthma.

Routine GP Appointment

Ongoing Management: Regular review of asthma control and adjustment of long-term management plans. This includes assessing the need for additional medications, changes in dosage, or lifestyle adjustments.
Referral for Specialist Assessment: If the patient's condition is not improving with standard treatments or if there is a need for a specialist assessment for complex asthma.

References

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Referral Criteria for Asthma

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