Astma in children Flashcards
what one sympton is required for astma to be diagnosed inchildren
a wheeze!
what genes can effect astma
adam 33 and ormdl 3
what factors make astma more prevaltne in western civilisattion
duts mties, smoking, decreaed breat feetign
what diagnos should be used for astma dection
, spirormoetry, broncho dilators excaled nitirc oxide, peak flow
how long should ics be used for suspected astma diagnosi
2 months
what is the harm for astma atreatment
cots, hasel, los to up to 1cm in height, oral thrush
what should you do if a wheeze is reported
see if it is genuine, what then try a trial of treatment
what if a wheze is under 5 differential diagnosis
most likley bronchits, also congetical, cf, pcd,
what is aweheze is deced after 5 differential diagnois
pertussis, vocal courd dysfucniton, dysfucntioal breathing
what is the approch to a preschool cough if it is dry
determine whatere te wheeze . if there is a most or dry suspect bronchitasis, pertissus, trachetioa , previous pneumioa or cf
why should you stop treatment after 2 months
due to a faslses postitive to check response is real
what can cause astma
genetics, physilogy abdnlamr anviroment, infection
what disease are often present in someone with asmat
ezema
what other disease are you at risk from childhorood disadvanctes and prepostion
type 2 diabets, copd, cancer, dementia
what are in the nice guidleisn of test for asthma in order
spirometry, bdr, feno, peak flow
what are in the bts/ sign guidles in ordr
spiromety, bdr, feno, peak flow
what is a habitual cough
repetpitivce coughting sound, ofen like throating clearing, singular, mistaken for asthma
what is dysfunctional breating
inability to get enough air into the lungs
laryngomalacia
softening of th tissues around the larynx.
whawt is the signs of larynogomialis
constant noise, worseing with age, irregualr feeding motion
what are the most common conditions for under 2 months
laryngomalacia, tracheobronail malciea
what are hte most common conditions for over 2 moths
bronchitis, astma, croup, pertussis,
what arre the most common breathing illnesss for over 5 years
astma, habitaul cough, dysfuctinal breating , pertussis, vcd (vocal cord disfucntion_
what is the pnemonic sane
shaort acting beta agonist,
absence of school or nursery
nocternal symptonsm
exertinona symptions
what is the normal tratment for a astma diagnois
ics
what is the step up from ics under nice for children over 5
short acting beta agoinstis , then long acting beta angois or leukotriene receptor antagoins, then addin gthe other. then theophllines and then oral steriods
what severe side efects can happen with high does of ics
adrenocortical suppersion
what are the side effects of leukotrience receptor antagoins
phsyiatic side effects,
what form can leukotreptor antagions be taken in
tablets or granuales`
how does nice and sign guidleis differ for children less than 5
no difference
what is best responce, laba, ics or ltra
laba
what is mart
combines - reliver and ics into one thing, taken once a day and during attacks
who can take mart
adults only
what percent lung deposition does a dpi obtain
20%
what is the differnce with a space on
increases effect 4 times
what increase dose shaking a mdi have
two times
what is predinosle
anti inflamtory steriod
adinophylline
bronchodilator
