Asthma (Paed) Flashcards
(28 cards)
Recite the Asthma Paed CPG
What is the initial status to identify in this CPG?
Respiratory distress.
What should be assessed at the beginning?
Severity of distress.
What is the preferred medication and route for mild/moderate asthma?
Salbutamol pMDI and spacer.
How many doses should be given to children aged ≥ 6 years?
4–12 doses.
How many doses should children aged 2–5 years receive?
2–6 doses.
How many breaths per dose should be taken?
4 breaths per dose.
How often can pMDI doses be repeated?
Every 20 minutes if needed.
What should be done after an adequate response?
Continue reassessment and repeat salbutamol as needed.
What if there is no significant response after 20 minutes?
Manage as per the severe asthma pathway.
What delivery method is used for severe asthma?
Salbutamol and ipratropium bromide via nebuliser.
What dose of salbutamol should be given for ages 12–15 years?
5 mg.
What is the salbutamol dose for ages 5–11 years?
2.5–5 mg.
What is the salbutamol dose for ages 2–4 years?
2.5 mg.
What is the ipratropium dose for 12–15 years?
500 mcg (2 mL).
What is the ipratropium dose for 5–11 years?
250 mcg (1 mL).
What is the ipratropium dose for 2–4 years?
250 mcg (1 mL).
What salbutamol dose is used for all children in critical asthma?
10 mg (5 mL) nebulised.
How often can salbutamol be repeated in critical asthma?
Every 5 minutes.
What is the ipratropium bromide dose for small/medium children (2–11 yrs)?
250 mcg (1 mL).
What is the ipratropium dose for adolescents (12–15 yrs)?
500 mcg (2 mL).
What is the IM adrenaline dose for children if IV is not available?
10 mcg/kg IM (max 500 mcg).
How often can IM adrenaline be repeated?
Every 5–10 minutes (max 30 mcg/kg IM).
What is the IV adrenaline bolus dose?
1 mcg/kg IV (max 50 mcg).
