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Pulmonology 2 > Peds Asthma > Flashcards

Flashcards in Peds Asthma Deck (16):
1

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

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

2

What is Asthma?

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

3

What are the different types of wheezers?

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

What is the pathophysiology of Asthma?

Bronchoconstriction
Edema
Inc Mucus Production
Airway remodeling

5

What are the causes of Childhood asthma?

Innate immunity
-TH1 cytokine response
-TH2 cytokine response
Genetic
Envirronment
-Smoking

6

How is asthma diagnosed?

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

7

WHat are the signs and symptoms of Asthma?

Cough
Wheezing
SOB
Chest Tigtness
Abdominal Pain
Vomiting

Acute vs Gradual onset depends on trigger

8

What are some triggers for asthma?

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

9

What lab results are suggestive of asthma?

Eosinophelia
Elevated serum IgE

Skin testing can ID triggers

10

WHat else may be on the DDx with Asthma?

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

11

What is charicteristic of Psychogenic Cough?

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

12

WHat are the different catgories of asthma?

Intermittent
Mild Persistent
Moderate persistent
Severe persistent

13

What are the long term management goals in asthma?

Reduce impairment
Reduce risk of exacerbation

14

WHat is the Tx of Asthma?

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

15

What is medical management of Childhood asthma?

Long term controller meds
Quick relief meds

16

What are the meds used for long term control?

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