Restrictive lung disease (RLD) or Idiopathic pulmonary fibrosis (IPF)
Red flags
Consider immediate referral for patients with the following:
Acute exacerbations of RLD/IPF showing the following features
- Severely breathless
- WHO IV Dyspnoea (ADL’s affected by Dyspnoea)
- Unable to walk between rooms (when previously mobile)
- Unable to eat or sleep secondary to dyspnoea
- Altered mental state
- Worsening hypoxaemia or cor pulmonale
- Oxygen saturation <90% at rest
- Clinical signs of pneumonia
- New signs of heart failure
- New arrhythmia/chest pain
Other important information for referring practitioners
In view of the serious and potential progressive nature of some of these conditions early referral is appropriate. Consider referral if:
- RLD/IPF is suspected
- Considering the requirement for home oxygen therapy
- Infective exacerbation
Conditions in this category
- Idiopathic pulmonary fibrosis
- Non-specific interstitial pneumonia
- Connective tissue associated interstitial lung disease
- Sarcoidosis
Management considerations
- Assess lung function
- Assess for oxygen therapy
- Assess for pulmonary rehabilitation
- Smoking cessation
- Identify and treat infective exacerbations
- Consider referral for lung transplantation
- Advance care planning and palliative care
- Assess co-morbidities:
- Anxiety and depression
- Ischaemic heart disease
- Lung cancer
- Pulmonary hypertension
- Diabetes
Referral requirements
A referral may be rejected without the following information.
Send referral
Hotline: 1300 364 938
Fax: 1300 364 952
Electronic: eReferral system
Mail: Metro North Central Patient Intake
Aspley Community Centre
776 Zillmere Road
ASPLEY QLD 4034
Health pathways
Access to Health Pathways is free for clinicians in Metro North Brisbane.
For login details email:
healthpathways
Login to Brisbane North Health Pathways:
brisbanenorth.
Locations
Resources
- Named Referral Information Sheet
- Outpatient clinic information
- General referral criteria
- eReferral template