Asthma non acute management in children

Question 1

goals of treatment of asthma

Answer 1

minimal symptoms during day and night, minimal need for reliever medication, no attacks, no limitations of physical activity

Question 2

how to measure control of asthma

Answer 2

SANE

short acting beta agonist/week, absence school or nursery, nocturnal symptoms/week, excertional symptoms/week

Question 3

types of medications for asthma

Answer 3

short acting beta agonists, inhaled corticsteroids,( long acting beta agonists, leukotriene receptor antagonists, theophylline, oral steroids- add ons)

Question 4

management technique for asthma

Answer 4

step up, step down

Question 5

contrast with adults treatment for asthma

Answer 5

max dose for ICS is lower, no oral B2 tablets, no long acting muscarinic antagonists, only 2 biological medicines

Question 6

long acting beta agonist

Answer 6

add-on, used as a fixed dose inhaler, preventative

Question 7

leukotriene receptor antagonist

Answer 7

tablet, rule of thirds

Question 8

second line preventer of asthma

Answer 8

LABA or LTRA

Question 9

what is thought of severe asthma

Answer 9

50% psychological issues and minority with genuine severe disease. question diagnosis- could be something else

Question 10

first line preventer in under 5s

Answer 10

inhaled steroids or LTRA

Question 11

two types of delivery systems

Answer 11

MDI/spacer, dry powder device

Question 12

how to use MDI/spacer

Answer 12

use spacer as this gives 4x the amount of medication, wash spacer monthly to reduce static, shake inhaler

Question 13

when to use dry powder device

Answer 13

over 5s, under 8s cannot use, boys can’t really use it