EXAM #2: PEDIATRIC ASTHMA

Question 1

What does a pediatric MDI need to have with it?

Answer 1

Spacer

Question 2

How many times can you repeat an albuterol nebulizer (w/ ipratropium bromide)?

Answer 2

3x with a 20 min. break between

Question 3

What is asthma?

Answer 3

Inflammation of the airway causing hyperresponsiveness and airway obstruction

Question 4

What should you remember about wheezing in kids?

Answer 4

Wheezing before 3 y/o= LRTI

Question 5

What is an atopic wheezer?

Answer 5

Kid that is most likely to have development of persistent asthma

Question 6

What is an objective indication of vocal cord dysfunction?

Answer 6

Flat inspiratory loop on PFT

Question 7

What does a kid with any kind of persistent asthma need?

Answer 7

Daily inhaled corticosteroid

Question 8

If a kid wakes up at night with coughing or wheezing, what does this imply?

Answer 8

This means they are NOT in the “intermittent” category

Question 9

What should you do in a child over 5 with suspected asthma?

Answer 9

PFTs

Question 10

How is the only form of long-term management for persistent asthma?

Answer 10

Inhaled corticosteroid

*Note that these take up to 4 weeks to take effect

Question 11

What is the black box warning for long-acting beta 2 agonists?

Answer 11

1) Increased risk of exacerbations

2) Not for ACUTE exacerbations

Question 12

Is Atrovent indicated in the in-patient setting?

Answer 12

NO–urgent care ONLY

Question 13

What should every patient with asthma have?

Answer 13

Asthma action plan