Management of Asthma in Children Flashcards
1
Q
What cardinal feature would you look for in asthma?
A
WHEEZE
NO WHEEZE NO ASTHMA
2
Q
How do you assess severity in children?
A
SANE S- SABA per week A- absences from school or nursery N- nocturnal- waking at night E- limitations on exercise
3
Q
How does treatment differ to adults?
A
Start at very low dose ICS not low dose
max dose is 800mg not 2g
LTRA = first line in <5 years
4
Q
What colour of ICS inhaler is best?
A
Brown- less chance of AAI
5
Q
What should always be used with an inhaler?
A
SPACER
6
Q
Treatment for Mild Acute Attack?
A
SABA (spacer), SABA + prednisolone
7
Q
Treatment for moderate AA attack?
A
SABA via nebuliser + prednisolone
SABA + ipra via nebuliser + prednisolone
IV salbutamol, aminophylline, Mg, intubate and ventilate
