ACUTE ASTHMA - CHILDREN

Question 1

acute asthma management children 2+ = severe/life-threatening

Answer 1

• hosp immediately
• give oxygen if life-threatening or if sp02 = < 94%

Question 2

acute asthma management children 2+

first line, mild/moderate, severe/l-T, ALL cases

Answer 2

• first line = salbutamol (SABA)
• mild/moderate = PMI + spacer if x controlled within 10 PUFFS - medical attention
• severe/L-T = via o2 driven nebuliser
• ALL cases 3DY predn

Question 3

If poor initial response to beta2 agonist in acute asthma 2yr+

Answer 3

add nebulised ipratropium

Question 4

if poor response to 1st line tx in acute asthma 2yr+

Answer 4

IV magnesium sulfate

Question 5

acute asthma tx in under 2yr

Answer 5

• all children tx hosp setting
• moderate + severe = immediate oxygen and trial SABA
• if needed nebulised ipratropium bromide