[10] Viral Wheeze Flashcards

1
Q

What is a viral wheeze?

A

A wheeze that is only present in response to viral infection

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2
Q

How common is viral wheeze?

A

It accounts for most pre-school wheeze

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3
Q

How does viral wheeze compare to asthma?

A

They have similar symptoms but are different conditions, however some children with viral wheeze may then develop asthma in the future

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4
Q

What causes a viral wheeze?

A

Narrowing of the airways due to inflammation in response to viral infection

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5
Q

What causes viral wheeze?

A

Viruses that cause the common cold

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6
Q

What are the risk factors for a viral wheeze?

A
  • Maternal smoking during pregnancy
  • Second hand smoke inhalation
  • Prematurity
  • Male gender
  • Previous bronchiolitis
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7
Q

What are the symptoms of a viral wheeze?

A
  • Wheeze
  • Tachypnoea
  • SoB
  • Difficulty feeding
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8
Q

What are the differentials for viral wheeze?

A
  • Asthma

- Bronchiolitis

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9
Q

How is a viral wheeze usually managed?

A

Salbutamol via a spacer - a nebuliser if the child is very breathless

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10
Q

What medication can be given to reduce inflammation?

A

Prednisolone for 2-3 days

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11
Q

What other medications may be useful?

A

Montelukast or ipratropium

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12
Q

Do most children with viral wheeze need a regular preventer?

A

No

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