Asthma Management Children 2 Flashcards
How much of the drug is deposited in to the lung with a spacer
20%
Doing what helps to increase the delivery of the drug by 100% each
Shaking the inhaler between puffs
Washing the spacer monthly
What does washing the spacer do
Reduce static
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
0.1%
How much of the drug is deposited into the lung of a 3 year old child crying during inhalation
1%
How much of the drug is deposited into the lung of a 3 year old child quietly inhaling
8%
Who is licensed to use dry powder devices
Children over the age of 5
However, children under the age 8 cannot use them
How much lung deposition do dry powder inhalers achieve
20%
What device do children up to the age of 8 tend to use
MDI’s
Should nebulisers be used
No
Not indicated for day-to-day use
What are the benefits of MDI spacers over nebulisers
Quieter Quicker Valve mechanism Don’t break down Portable Cheaper
What other types of management have been seen to help alleviate asthma symptoms
Stopping exposure to tobacco smoke
Removing environmental triggers (e.g. cat, dogs, dust mites)
What has been seen to have no influence on asthma symptoms
Diet
Humidity alteration (air ionisers increase cough)
Weight reduction
What is the treatment available for mild acute asthma
SABA via spacer
SABA via spacer and prednisolone
What is the treatment available for moderate acute asthma
SABA via a nebuliser and prednisolone
SABA and ipratropium bromide via a nebuliser and prednisolone
What is the treatment available for severe acute asthma
IV salbutamol IV aminophylline IV magnesium (neb) IV hydrocortisone Intubate and ventilate
What should be monitored when deciding acute asthma treatment
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
When should treatment in acute asthma be reassessed
Every hour
What can be done upon reassessing treatment for acute asthma
It can be increased or decreased as appropriate
What type of steroids will chronic/maintained treatment use
Inhaled
What type of steroids will acute treatment use
Oral
