asthma

Question 1

criteria for severe asthma attack in children

Answer 1

SpO2 < 92%
PEF 33-50%
too breathless to talk or feed
heart rate > 125 (>5) > 140 (1-5)
respiratory rate > 30 (>5), > 40
use of accessory neck muscles

Question 2

criteria for life threatening asthma attack in children

Answer 2

SpO2 < 92%
PEF <33%
silent chest
poor respiratory effort
agitation
altered consciousness
cyanosis

Question 3

management of asthma in children aged 5-11

Answer 3

1. twice daily paediatric low-dose ICS + SABA as needed
2. decide if child suitable for MART or not

Question 4

management in children under 5

Answer 4

1. 8-12 weeks of twice daily paediatric low-dose ICS + SABA

Question 5

management of child with mild-moderate acute asthma attack

Answer 5

bronchodilator therapy (SABA) if not controlled refer to hospital
steroids for 3-5 days