Paediatric Asthma

Question 1

what does SOB at rest indicate?

Answer 1

<30% lung function - airway obstruction

Question 2

what is a side effect of ICS in children?

Answer 2

height suppression

Question 3

what are characteristics of the cough of asthma?

Answer 3

dry, nocturnal, exertional

Question 4

if symptoms, what is it most likely to be under 18 months?

Answer 4

infection

Question 5

if symptoms, what is it most likely to be over 5 years?

Answer 5

asthma

Question 6

what else could an isolated cough be?

Answer 6

bronchitis, pertussis, habitual cough, tracheomalacia

Question 7

what is essential with a MDI?

Answer 7

a spacer

Question 8

what is the difference in treatment of asthma in 5-12 year olds?

Answer 8

step 2: ICS range 200-400mcg/day
step 3: increases to 400mcg/day max dose
step 4: JUST increase up to 800mcg/day
step 5: give tablet, maintain at 800mcg/day & refer

Question 9

what is the difference in treatment of asthma in <5 year olds?

Answer 9

step 2: ICS range 200-400mcg/day
step 3: combine both but children under 2 referred
step 4: referral

Question 10

What leukotriene receptor antagonist is used in children only?

Answer 10

Montelukast