Asthma Management Children 2

Question 1

How much of the drug is deposited in to the lung with a spacer

Answer 1

20%

Question 2

Doing what helps to increase the delivery of the drug by 100% each

Answer 2

Shaking the inhaler between puffs

Washing the spacer monthly

Question 3

What does washing the spacer do

Answer 3

Reduce static

Question 4

How much of the drug is deposited into the lung of a 3 year old child with a face mask that is not tightly fitting

Answer 4

0.1%

Question 5

How much of the drug is deposited into the lung of a 3 year old child crying during inhalation

Answer 5

1%

Question 6

How much of the drug is deposited into the lung of a 3 year old child quietly inhaling

Answer 6

8%

Question 7

Who is licensed to use dry powder devices

Answer 7

Children over the age of 5

However, children under the age 8 cannot use them

Question 8

How much lung deposition do dry powder inhalers achieve

Answer 8

20%

Question 9

What device do children up to the age of 8 tend to use

Answer 9

MDI’s

Question 10

Should nebulisers be used

Answer 10

No

Not indicated for day-to-day use

Question 11

What are the benefits of MDI spacers over nebulisers

Answer 11

Quieter
Quicker
Valve mechanism
Don’t break down
Portable
Cheaper

Question 12

What other types of management have been seen to help alleviate asthma symptoms

Answer 12

Stopping exposure to tobacco smoke

Removing environmental triggers (e.g. cat, dogs, dust mites)

Question 13

What has been seen to have no influence on asthma symptoms

Answer 13

Diet
Humidity alteration (air ionisers increase cough)
Weight reduction

Question 14

What is the treatment available for mild acute asthma

Answer 14

SABA via spacer

SABA via spacer and prednisolone

Question 15

What is the treatment available for moderate acute asthma

Answer 15

SABA via a nebuliser and prednisolone

SABA and ipratropium bromide via a nebuliser and prednisolone

Question 16

What is the treatment available for severe acute asthma

Answer 16

IV salbutamol
IV aminophylline
IV magnesium (neb)
IV hydrocortisone
Intubate and ventilate

Question 17

What should be monitored when deciding acute asthma treatment

Answer 17

Respiratory rate
Work of breathing – accessory muscles used
Heart rate
Oxygen saturations
Ability to complete sentences
Confusion – late feature due to hypoxia
Air entry – silent chest

Question 18

When should treatment in acute asthma be reassessed

Answer 18

Every hour

Question 19

What can be done upon reassessing treatment for acute asthma

Answer 19

It can be increased or decreased as appropriate

Question 20

What type of steroids will chronic/maintained treatment use

Answer 20

Inhaled

Question 21

What type of steroids will acute treatment use

Answer 21

Oral