Asthma

Question 1

Mild exacerbated asthma steroid 
Moderate 
X-ray in asthmatic 
< 20 kg? Puffs
> 20 kg ? Puffs

Answer 1

PIS< 7 systemic glucocorticoids to those who fail to show any improvement or worsen after one inhalation therapy (table 2) or who have a history of severe or recurrent exacerbations in the past. (2 or 3 times in past year to ER)
PIS Moderate exacerbation — For children with moderate asthma exacerbation (PIS 7 to 11 (table 1)), we suggest the following approach (algorithm 1):ipratropium bromide (250 microgram/dose if <20 kg; 500 microgram/dose if >20 kg) every 20 to 30 minutes for three doses or continuously. (Se
Administration of systemic glucocorticoids soon after arrival in the ED or after the first inhalation therapy is initiated (table 2). (See ‘Systemic glucocorticoids’ below.)
Pneumonia, pneumothorax, collapse, FB
Mild asthma
5 puffs of salbutamol ; < 20 kg / 0.1 mg / puff every 20 min first hour
10 puffs > 20 kg
Moderate: