Paediatric Asthma

Question 1

What is the minimum fluid required in a nebuliser

Answer 1

5mL

Question 2

How much O2 flow should be administered in a nebuliser?

Answer 2

8L

Question 3

What Pneumonic can be used to determine Asthma severity in Paediatrics?

Answer 3

C - Conscious State
A - Accessory Muscle use
S - Speech
H - Heart Rate

Question 4

Using the CASH pneumonic what is consider Mild - Moderate Asthma in Paediatrics?

Answer 4

C - Normal Conscious state
A - Some increase WoB
S - speaking in Phrases/sentences
H - Tachycardia

Question 5

Using the CASH pneumonic what is consider severe Asthma in Paediatrics?

Answer 5

C - Agitated/Distressed
A - Marked accessory muscle use
S - Words
H - tachycardia

Question 6

Using the CASH pneumonic what is consider Critical Asthma in Paediatrics?

Answer 6

C - Altered
A - Maximal WoB
S - Unable to talk
H - Marked Tachycardia

Question 7

What is the mx for Mild to Moderate paediatric Asthma ?

Answer 7

> = 6 Years: 4 - 12 doses
2 - 5 Years: 2 - 6 Doses

Repeat @ 20/60

Question 8

What is the Mx for Severe Paediatric Asthma

Answer 8

Adolescent: 5mg Sal + 500mcg Atrovent
Medium Child: 2.5-5mg Sal + 250mcg Atrovent
Small Child: 2.5mg Sal + 250mcg Atrovent

Repeat Sal @ 20/60

Question 9

How do you manage a paediatric patient with Mild - Moderate Asthma who has no significant response after 20/60?

Answer 9

Manage as per Severe

Question 10

What is the Mx for Critical Paediatric Asthma ?

Answer 10

All children - 10mg Sal repeat @ 5/60
Atrovent as per Severe

600mcg/kg Dex - Maximum of 12mg