Asthma in Children Flashcards
Is asthma more common in boys or girls?
Boys
What symptom MUST children have to be diagnosed with asthma?
Wheeze
What are other symptoms could children have if they have asthma? (2)
Dyspnoea at rest
Cough
What are the 4 main triggers for asthma in children?
URTI
Exercise
Allergens
Cold air
What is the most likely differential diagnosis for childhood asthma?
Viral induced wheeze
How should an infrequent episodic wheeze with a cold be treated?
Salbutamol
What are the clinical symptom for bacterial bronchitis in children? (3)
Recurrent wet cough
Tractor
Palpable fremitus
What condition does bacterial bronchitis typically follow?
URTI
How long does bacterial bronchitis tend to last?
4 weeks
What should be done do avoid children getting pertussis?
Vaccination
What are the 5 steps of treatment in children 5-12 years old?
1: Start on low dose inhaled corticosteroids
2: Add short acting beta agonist (inhaled with spacer)
3: Add long acting beta agonist
4: Assess treatment and if unsure refer
What are 2 adverse effects of inhaled corticosteroids?
Height suppression
Oral candidiasis
When only should long acting beta agonists be used for children?
When they are already using inhaled corticosteroids
Which leukotriene receptor agonist should be used in child treatment?
Montelukast only
What 2 types of inhaled delivery system should be used for children?
MDI/spacer
Dry powder device
