CPP Paediatric Asthma

Question 1

Paediatric asthma

Levels of severity

Answer 1

a) Mild/Moderate,
b) Severe,
c) Critical.

Question 2

Paediatric asthma

Fewer signs and symptoms to determine level of severity/distress

Answer 2

a) Conscious state,
b) WOB,
c) Tachycardia,
d) Speech.

Question 3

Paediatric asthma

Describe “Conscious state” as it pertains to:

a) Mild/moderate,
b) Severe,
c) Critical.

Answer 3

a) Normal,
b) Distressed,
c) Altered.

Question 4

Paediatric asthma

Describe “Work of breathing” as it pertains to:

a) Mild/moderate,
b) Severe,
c) Critical.

Answer 4

a) Increased,
b) Markedly increased,
c) Maximal.

Question 5

Paediatric asthma

Describe “Tachycardia” as it pertains to:

a) Mild/moderate,
b) Severe,
c) Critical.

Answer 5

a) Tachycardia,
b) Tachycardia,
c) Marked tachycardia.

Question 6

Paediatric asthma

Describe “Speech” as it pertains to:

a) Mild/moderate,
b) Severe,
c) Critical.

Answer 6

a) Phrase/Sentence,
b) Words,
c) Unable to speak.

Question 7

Paediatric asthma

Acceptable VSS by age

Respiratory Rate

a) 2yrs,
b) 4yrs,
c) 6yrs,
d) 8yrs,
e) 10yrs,
f) 12yrs.

Answer 7

a) 20-40,
b) 17-30,
c) 16-30,
d) 16-30,
e) 15-25,
f) 15-25.

Question 8

Paediatric asthma

Acceptable paediatric VSS by age.

Heart Rate

a) 2yrs,
b) 4yrs,
c) 6yrs,
d) 8yrs,
e) 10yrs,
f) 12yrs.

Answer 8

a) 95-175,
b) 80-150,
c) 75-140,
d) 70-130,
e) 60-130,
f) 60-120.

Question 9

Paediatric asthma

Explain your mgmt of MILD/MODERATE paediatric asthma.

Answer 9

Salbutamol pMDI and spacer

• > 6yrs: 4-12 doses,
• 2-5yrs: 2-6 doses,

4 breaths for each dose

Repeat at 20min intervals PRN.

Question 10

Paediatric asthma

Explain your mgmt of SEVERE paediatric asthma

Answer 10

Salbutamol and Ipratropium Bromide nedulised.

• Small child (2-4yrs):
  2.5 Salbutamol,
• Medium child (5-11):
  5mg Salbutamol,
• Ipratropium Bromide 0.25mg.

Repeat (salbutamol) as required at 20min.

If no resolution/worsening symptoms manage as per CRITICAL.

Question 11

Paediatric asthma

Explain your mgmt of CRITICAL paediatric asthma

Answer 11

Increased dose of Salbutamol and Ipratropium Bromide nebulised.
Same dose across all paed age ranges.

• 10mg Salbutamol,
• 0.25mg Atrovent,
• Repeat 5mg Salbutamol at 5min intervals.

AND,

• Adrenaline (0.01mg/kg),
• Repeat at 5min intervals PRN,
• Max of 3 doses.