Children's (0-4yo) Dosing Asthma Medication

Question 1

Albuterol HFA (Quick-Relief)

Answer 1

1-2 puffs 5 minutes before exercise

2 puffs Q4-6H PRN

Question 2

Levalbuterol HFA (Quick-Relief)

Answer 2

n/a

Question 3

Albuterol nebulizer (Quick-Relief)

Answer 3

0.63-2.5mg in 3mL saline Q4-6H PRN

Question 4

Levalbuterol nebulizer (Quick-Relief)

Answer 4

0.31-1.25 mg in 3mL saline Q4-6H PRN

Question 5

Ipratropium HFA (Quick-Relief)

Answer 5

n/a

Question 6

Ipratropium and Albuterol (Quick-Relief)

Answer 6

n/a

Question 7

Methylprednisolone (Quick-Relief)

Answer 7

Burst: 1-2 mg/kg/day PO [max:60mg/day PO for 3-10 days]

Question 8

Prednisolone (Quick-Relief)

Answer 8

Burst: 1-2 mg/kg/day PO [max:60mg/day PO for 3-10 days]

Question 9

Prednisone (Quick-Relief)

Answer 9

Burst: 1-2 mg/kg/day PO [max:60mg/day PO for 3-10 days]

Question 10

Methylprednisolone acetate (Quick-Relief)

Answer 10

7.5mg/kg IM ONCE

Question 11

Magnesium Sulfate (Quick-Relief)

Answer 11

25-75 mg/kg [max of 2gm} IV ONCE

Question 12

Methylprednisolone (long term)

Answer 12

0.25-2mg/kg daily in a single dose or every other day

Question 13

Prednisolone (long term)

Answer 13

0.25-2mg/kg daily in a single dose or every other day

Question 14

Prednisone (long term)

Answer 14

0.25-2mg/kg daily in a single dose or every other day

Question 15

Salmeterol (long term)

Answer 15

n/a [most children under 4 are incapable of sufficient respiratory flow for adequate drug delivery]

Question 16

Formoterol (long term)

Answer 16

n/a [most children under 4 are incapable of sufficient respiratory flow for adequate drug delivery]

Question 17

Arformoterol tartrate (long term)

Answer 17

n/a [most children under 4 are incapable of sufficient respiratory flow for adequate drug delivery]

Question 18

Indacaterol (long term)

Answer 18

n/a [most children under 4 are incapable of sufficient respiratory flow for adequate drug delivery]

Question 19

Fluticasone/Salmeterol (long term)

Answer 19

n/a [most children under 4 are incapable of sufficient respiratory flow for adequate drug delivery]

Question 20

Budesonide/Formoterol (long term)

Answer 20

n/a [most children under 4 are incapable of sufficient respiratory flow for adequate drug delivery]

Question 21

Cromolyn MDI (long term)

Answer 21

n/a

Question 22

Cromolyn nebulizer (long term)

Answer 22

one ampule QID (safety not established in <2yo)

Question 23

Montelukast (long term)

Answer 23

4mg at bedtime (1-5yo)

Question 24

Zafirlukast (long term)

Answer 24

n/a

Question 25

Zileuton (long term)

Answer 25

n/a

Question 26

Theophylline (long term)

Answer 26

``` Starting Dose 10mg/kg/day usual max-- <1yo: 0.2(age in weeks)+5=mg/kg/day 1yo and up: 16mg/kg/day ```

Question 27

Omalizumab (long term)

Answer 27

n/a

Question 28

Albuterol (exacerbation treatment) | [this is for all children's dosing]

Answer 28

0.15mg/kg (minimum of 2.5mg) Q20 minutes x3 doses, then 0.15-0.3mg/kg up to 10m/kg Q1-4H PRN or 0.5mg/kg/hour by continuous neb

Question 29

``` Albuterol MDI (exacerbation treatment) [this is for all children's dosing] ```

Answer 29

4-8 puffs Q20mins x3 doses, then every 1-4 hours inhalation maneuver PRN Use valves holding chamber; add mask for <4yo

Question 30

``` Levalbuterol Neb (exacerbation treatment) [this is for all children's dosing] ```

Answer 30

0.075mg/kg (minimum 1.25mg) Q20 minutes x 3 doses, then 0.075-0.15mg/kg up yo 5mg Q1-4H PRN

Question 31

``` Levalbuterol MDI (exacerbation treatment) [this is for all children's dosing] ```

Answer 31

SAME AS ALBUTEROL EXACERBATION TX 4-8 puffs Q20mins x3 doses, then every 1-4 hours inhalation maneuver PRN Use valves holding chamber; add mask for <4yo

Question 32

Epinephrine (exacerbation treatment) | [this is for all children's dosing]

Answer 32

0.01mg/kg up to 0.3-0.5mg Q20 minutes x3 doses SC

Question 33

Terbutaline (exacerbation treatment) | [this is for all children's dosing]

Answer 33

0.01mg/kg Q20 minutes x3 doses, then Q2-6H SC PRN

Question 34

Ipratropium Bromide neb (exacerbation treatment) | [this is for all children's dosing]

Answer 34

0.25-0.5mg Q20 minutes x3 doses then PRN

Question 35

Ipratropium Bromide MDI (exacerbation treatment) | [this is for all children's dosing]

Answer 35

4-8 puffs Q20 minutes up to 3 hours

Question 36

Ipratropium + Albuterol neb (exacerbation treatment) | [this is for all children's dosing]

Answer 36

1.5ml Q20 minutes x3 doses, then PRN

Question 37

Ipratropium + Albuterol MDI (exacerbation treatment) | [this is for all children's dosing]

Answer 37

4-8 puffs Q20 minutes PRN up to 3 hours

Question 38

Prednisone, Methylprednisolone, Prednisolone (exacerbation treatment) [this is for all children's dosing]

Answer 38

1mg/kg PO in 2 divided doses [max 60mg/day]

Question 39

Belomethasone

Answer 39

n/a

Question 40

budesonide DPI

Answer 40

n/a

Question 41

budesonide neb

Answer 41

0.25-0.5mg [low dose] >0.5-1mg [medium dose] >1mg [High Dose]

Question 42

Flunisolide HFA

Answer 42

n/a

Question 43

Fluticasone HFA (MDI)

Answer 43

176 mcg [low dose] >176-352 mcg [medium dose] >352 mcg [high dose]

Question 44

Fluticasone DPI

Answer 44

n/a

Question 45

Mometasone DPI

Answer 45

n/a

Question 46

Ciclesonide

Answer 46

n/a