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Respiratory System > Astma in children > Flashcards

Astma in children Flashcards

1
Q

what one sympton is required for astma to be diagnosed inchildren

A

a wheeze!

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2
Q

what genes can effect astma

A

adam 33 and ormdl 3

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3
Q

what factors make astma more prevaltne in western civilisattion

A

duts mties, smoking, decreaed breat feetign

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4
Q

what diagnos should be used for astma dection

A

, spirormoetry, broncho dilators excaled nitirc oxide, peak flow

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5
Q

how long should ics be used for suspected astma diagnosi

A

2 months

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6
Q

what is the harm for astma atreatment

A

cots, hasel, los to up to 1cm in height, oral thrush

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7
Q

what should you do if a wheeze is reported

A

see if it is genuine, what then try a trial of treatment

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8
Q

what if a wheze is under 5 differential diagnosis

A

most likley bronchits, also congetical, cf, pcd,

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9
Q

what is aweheze is deced after 5 differential diagnois

A

pertussis, vocal courd dysfucniton, dysfucntioal breathing

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10
Q

what is the approch to a preschool cough if it is dry

A

determine whatere te wheeze . if there is a most or dry suspect bronchitasis, pertissus, trachetioa , previous pneumioa or cf

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11
Q

why should you stop treatment after 2 months

A

due to a faslses postitive to check response is real

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12
Q

what can cause astma

A

genetics, physilogy abdnlamr anviroment, infection

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13
Q

what disease are often present in someone with asmat

A

ezema

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14
Q

what other disease are you at risk from childhorood disadvanctes and prepostion

A

type 2 diabets, copd, cancer, dementia

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15
Q

what are in the nice guidleisn of test for asthma in order

A

spirometry, bdr, feno, peak flow

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16
Q

what are in the bts/ sign guidles in ordr

A

spiromety, bdr, feno, peak flow

17
Q

what is a habitual cough

A

repetpitivce coughting sound, ofen like throating clearing, singular, mistaken for asthma

18
Q

what is dysfunctional breating

A

inability to get enough air into the lungs

19
Q

laryngomalacia

A

softening of th tissues around the larynx.

20
Q

whawt is the signs of larynogomialis

A

constant noise, worseing with age, irregualr feeding motion

21
Q

what are the most common conditions for under 2 months

A

laryngomalacia, tracheobronail malciea

22
Q

what are hte most common conditions for over 2 moths

A

bronchitis, astma, croup, pertussis,

23
Q

what arre the most common breathing illnesss for over 5 years

A

astma, habitaul cough, dysfuctinal breating , pertussis, vcd (vocal cord disfucntion_

24
Q

what is the pnemonic sane

A

shaort acting beta agonist,
absence of school or nursery
nocternal symptonsm
exertinona symptions

25
Q

what is the normal tratment for a astma diagnois

A

ics

26
Q

what is the step up from ics under nice for children over 5

A

short acting beta agoinstis , then long acting beta angois or leukotriene receptor antagoins, then addin gthe other. then theophllines and then oral steriods

27
Q

what severe side efects can happen with high does of ics

A

adrenocortical suppersion

28
Q

what are the side effects of leukotrience receptor antagoins

A

phsyiatic side effects,

29
Q

what form can leukotreptor antagions be taken in

A

tablets or granuales`

30
Q

how does nice and sign guidleis differ for children less than 5

A

no difference

31
Q

what is best responce, laba, ics or ltra

A

laba

32
Q

what is mart

A

combines - reliver and ics into one thing, taken once a day and during attacks

33
Q

who can take mart

A

adults only

34
Q

what percent lung deposition does a dpi obtain

A

20%

35
Q

what is the differnce with a space on

A

increases effect 4 times

36
Q

what increase dose shaking a mdi have

A

two times

37
Q

what is predinosle

A

anti inflamtory steriod

38
Q

adinophylline

A

bronchodilator

39
Q
A

Respiratory System (28 decks)

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