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Flashcards in Peds Asthma Deck (16)
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1
Q

WHat medications can be given to a child having an asthma attack?

A

Albuterol + ipratropium bromide up to 3 times re-assessing after each Tx
Steroid

2
Q

What is Asthma?

A

Disease of airway inflammation
char. by hyperresponsiveness and airway obstruction
A diffuse CHRONIC inflammatory disease with ACUTE exacerbation

3
Q

What are the different types of wheezers?

A
Transient Wheezers
-LRTI; no wheezing after 3yo
Non-atopic wheezers 
-Inc airway reactivity
-inc RSV infection
-Persistant wheezing after 3yo
Atopic Wheezers
-Most likely to dev. persistent asthma
-Elevated IgE levels
4
Q

What is the pathophysiology of Asthma?

A

Bronchoconstriction
Edema
Inc Mucus Production
Airway remodeling

5
Q

What are the causes of Childhood asthma?

A
Innate immunity
-TH1 cytokine response
-TH2 cytokine response
Genetic 
Envirronment
-Smoking
6
Q

How is asthma diagnosed?

A

Recurrent episodes of airway obstruction or hyper-responsiveness
At least partially reversible
Exclude alternate diagnosis

7
Q

WHat are the signs and symptoms of Asthma?

A
Cough
Wheezing 
SOB
Chest Tigtness
Abdominal Pain
Vomiting

Acute vs Gradual onset depends on trigger

8
Q

What are some triggers for asthma?

A
Exercise
Inhaled allergens
Resp infections
Weather changes
Stress
Menstrual Cycle
Airway irritants
Medications
Strong Emotions
9
Q

What lab results are suggestive of asthma?

A

Eosinophelia
Elevated serum IgE

Skin testing can ID triggers

10
Q

WHat else may be on the DDx with Asthma?

A
Upper airway disease
Large Airway obstruction
Recurrent aspiration or reflux
Psychogenic cough
Sm airway obstruction
11
Q

What is charicteristic of Psychogenic Cough?

A

Inc with stress
Inc with attn to cough
Absent during sleep
Brassy or Honking quality

12
Q

WHat are the different catgories of asthma?

A

Intermittent
Mild Persistent
Moderate persistent
Severe persistent

13
Q

What are the long term management goals in asthma?

A

Reduce impairment

Reduce risk of exacerbation

14
Q

WHat is the Tx of Asthma?

A

Annual Influenza vaccine
Smoking cessation for fam
Dec exposure to allergens
Tx comorbid conditions

15
Q

What is medical management of Childhood asthma?

A

Long term controller meds

Quick relief meds

16
Q

What are the meds used for long term control?

A

Inhaled corticostroids
Cromolyn sodium/nedocromil
leukotriene modifiers
Long acting B2 agonists