Asthma

Question 1

in a child aged 5 to 16 who you suspect to have a new diagnosis of asthma what is the first line medical management

Answer 1

Salbutamol

Question 2

You have been seen Tom’s a 10 year old child to help him manage his asthma unfortunately his salbutamol inhaler isn’t enough what is the next line

Answer 2

Add an inhaled corticosteroids which is beclomethasone

Question 3

One year later Tom comes back complaining that his current inhalers aren’t really helping what is the next line management after a salbutamol and inhaled corticosteroids combination

Answer 3

Add a leukotriene receptor for medication such as montelukast

Question 4

Tom says that initially the montelukast you prescribed him was helping but now it’s not really doing anything what can you try instead of a leukotriene receptor for medication

Answer 4

LABA

Question 5

Is the salbutamol inhaler corticosteroids and long acting beta agonist combination isn’t working what replacements can you use

Answer 5

Maintenance and reliever therapy combination which is a combination of an inhaled corticosteroids and a long acting beta agonist

Question 6

How are NICE guidelines for asthma different in children under the age of 5

Answer 6

After you have child montelukast so that is to say after the salbutamol and inhaled corticosteroids combination doesn’t work then you refer to an asthma specialist