- London Primary Care Respiratory guidance . Detailed guidance on all aspects of Covid planning and management in the Community.
Diagnosis and assessment
- NHSE Guidance: Pulse Oximetry to detect early deterioration of patients with COVID-19 in primary and community care settings
- Remote assessment in primary care : BMJ paper about assessing shortness of breath using a series of narrative questions remains sound.’ – Nuffield Department of Primary Care Health Sciences • University of Oxford
- Support for people with breathing difficulties after COVID-19. Asthma UK and British Lung Foundation
Asthma & COPD
It is important during the COVID pandemic to continue to seek advice and possible referral for patients with complex asthma, and refer to A&E for severe acute, or life threatening asthma exacerbations.
Continue preventers- there is no data showing ICS increase Covid risks. For COPD exacerbation, carefully consider risk/benefits of oral steroids.
- SEL Guidance for Primary care respiratory diagnostics during COVID-19
- Asthma during COVID-19, how to manage and distinguish asthma presentations from coronavirus presentations
- Asthma and COPD Guides (Clinical Effectiveness Southwark)
- SEL guideline for the management of Asthma
- SEL guideline for the management of COPD
- NICE Asthma – COVID-19, severe asthma rapid review
- BTS advice for Healthcare professionals treating people with asthma in relation to COVID-19
- NICE COPD – COVID-19 COPD rapid review
- Pragmatic Guidance for crisis management of asthma and COPD during UK Covid-19 epidemic (Primary Care Respiratory Society)
Please see Medications section for general advice on medications. Use www.rightbreathe.com as your resource for the following:
- For information on alternative inhaled medications in the light of inhaler shortages
- To work out equivalent steroid doses when changing inhaled steroids
- Provide links to inhaler technique videos to patients that need to be commenced on a different inhaler device but cannot be seen f2f for training
Interstitial lung disease
- NICE COVID-19 rapid guideline: interstitial lung disease. The guideline provides clinicians with advice on how to adjust care to reduce patients’ exposure to COVID-19 and how to balance the risks and benefits of taking drugs that affect the immune response during the pandemic