(4.2) Key Points for Cardiac Pulmonary and Renal Pediatric Pearls 1 [DSA-Newman]

Question 1

What are the three major goals of asthma therapy?

Answer 1

1. Reduce impairment
2. Reduce risk
3. Optimize health and function

Question 2

What are key factors included in assessment of a pts asthma?

Answer 2

• Classify asthma severity
• Identify precipitating and exacerbating factors
• Identify comorbid medical conditions
• Monitor medications
• Regularly assess pt’s and family’s knowledge/skills for self management

Question 3

If asthma is NOT well controlled, how frequent should a patient visit their pediatrician?

Answer 3

2 - to 6- WEEK intervals

Question 4

If asthma is well controlled, how frequent should a patient visit their pediatrician?

Answer 4

3- 6 MONTH intervals

Question 5

What three things should be in EVERY clinical encounter?

Answer 5

1. Use a written asthma action plan
2. Knowledge
3. Skills

Question 6

What is the preferred treatment for

Step 1

Answer 6

SABA prn

Question 7

What is the preferred treatment for

Step 2

Answer 7

Low dose ICS

Question 8

What is the preferred treatment for

Step 3

Answer 8

0-4 yrs: Medium dose ICS + subspecialist referral

greater than or equal to 5yo : Low dose ICS + LABA OR Medium dose ICS

Question 9

What is the preferred treatment for

Step 4

Answer 9

Medium dose ICS + LABA

OR

Montelukast + Subspecialist referral

Question 10

What is the preferred treatment for

Step 5

Answer 10

High dose ICS + LABA

OR

Montelukast + Subspecialist referral

Question 11

What is the preferred treatment for

Step 6

Answer 11

High dose ICS + LABA

OR

Montelukast + OCS + Subspecialist referral