asthma management children

Question 1

how do you measure control?

Answer 1

SANE
Short acting beta agonist/week
Absence school/nursery
Nocturnal symptoms/week
Excertional symptoms/week

Question 2

what kind of questions can you ask children about how asthma is affecting their life?

Answer 2

how is your asthma today
how muhc of a problem is your asthma when you run, excercise or play sports?
do you cough because of your asthma?
do you wake up during the night becausse of your asthma?

Question 3

what are the possibilities that their asthma is not well controlled?

Answer 3

not taking the treatment
not taking it correctly
not astma

Question 4

what is the step up step down approach?

Answer 4

Start on low dose ICS
Severe may respond to minimal treatment
Review after 2mo
No routine test to monitor progress (?)
Stepping up easier than down

Question 5

what are the classes of medication?

Answer 5

Short acting beta agonists
Inhaled corticosteroids (ICS)
Long acting beta agonists*
Leukotriene receptor antagonists*
Theophyllines*
Oral steroids
* “add ons”

Question 6

what are the two things to remember when taking long acting beta agonist?

Answer 6

do not use without ICS

used as fixed dose inhaler

Question 7

what are the two types of delivery systems?

Answer 7

MDI/spacer

Dry powder device

Question 8

what are the three things infants do to not make inhaling efficient

Answer 8

With a not tightly fitting face mask (0.1%)
Crying during inhalation (1%)
Quietly inhaling (8%).

Question 9

what is other management to reduce asthma?

Answer 9

stop smoking
remove environmental triggers- pets
diet
alter humidity

Question 10

whats the difference between management in adults and management in children?

Answer 10

max dose for children ICS is 800 microg
no oral B2 tablet
LTRA first line preventer in <5s
no LAMAs
only two biologicals