management of asthma in children

Question 1

what are the goals of asthma management?

Answer 1

Goals of asthma treatment are minimal symptoms during day and night, minimal need for reliever medication (less than 2 times a week), no attacks, and no limitation on physical activity

Question 2

what does SANE stand for?

Answer 2

SABA (are you using your blue inhaler more than 2 days a week? If so, poorly controlled)

Absence from school/nursery?

Nocturnal symptoms (are they waking more than one night a week as result? If so, poorly controlled)

exertion symptoms?

Question 3

what are the 2 common asthma treatments given?

Answer 3

SABA - blue reliever medication (salbutamol)

inhaled corticosteroids (ICS) - brown preventative treatment, given to diagnose asthma as well. (example is beclomethasone)

Question 4

what are the add-on treatments for asthma?

Answer 4

LABA’s

Leukotriene receptor antagonists

theophylline’s

Question 5

for younger children, what is the first line preventer?

Answer 5

ICS or leukotriene receptor antagonists

in older children and adults, it is just ICS

Question 6

what are the adverse effects of ICS?

Answer 6

height reduction (1cm max) and oral thrush if dont brush teeth after usage

Question 7

what are the two common types of ICS?

Answer 7

budesonide and beclomethasone