Paediatric Respiratory Flashcards
what is the upper and lower resp tract split by
the larynx
what can be both a viral and bacterial infection
penumonia
ear infection
what is the aetiology of astham
variable host response to the environment infection important it is a syndrome genes ADAM33 or ORMDL3
what is the clinical presentation of asthma
WHEEZE SOB at rest, sooking in ribs dry cough nocturnal cough parental asthma
what are the investigations for asthma
no diagnostic test peak flow allergy test spirometry exhaled nitric oxide
what would like to ask in the history
SANE SABA more than once absence from school nocturnal symptoms exertion symptoms
how do you manage childhood asthma
If th eapteints quality of life is affected, give a trial of steroids review after 2 months
if the patients quality of lie isn’t affected then leave it and watch
what are the classes of medicnes
SABA
ICS
LABA-do not use without ICS
leukotriene receptor antagonist
what is the firs tile of treatment
SABA
what is the second line of treatment
brown inslahaler
if uses SABA more than twice a week or waking once at night
start with very low does ICS
LTRA for under 5 year olds
what are side effects of ICS
1cm off height
oral candidiasis
what is the third line of treatment
add on LABA for over 5
montelukast
or increase ICS
what are the 3 types od delivery devices
MDI useless
spacer with MDI
dry power device
what is non medication maangement
stop smoking
remove environmental triggers
what is the difference between over and under 5 year olds
under-likely to be infeciton
over-likely to be asthma
