Peds Asthma Flashcards
WHat medications can be given to a child having an asthma attack?
Albuterol + ipratropium bromide up to 3 times re-assessing after each Tx
Steroid
What is Asthma?
Disease of airway inflammation
char. by hyperresponsiveness and airway obstruction
A diffuse CHRONIC inflammatory disease with ACUTE exacerbation
What are the different types of wheezers?
Transient Wheezers -LRTI; no wheezing after 3yo Non-atopic wheezers -Inc airway reactivity -inc RSV infection -Persistant wheezing after 3yo Atopic Wheezers -Most likely to dev. persistent asthma -Elevated IgE levels
What is the pathophysiology of Asthma?
Bronchoconstriction
Edema
Inc Mucus Production
Airway remodeling
What are the causes of Childhood asthma?
Innate immunity -TH1 cytokine response -TH2 cytokine response Genetic Envirronment -Smoking
How is asthma diagnosed?
Recurrent episodes of airway obstruction or hyper-responsiveness
At least partially reversible
Exclude alternate diagnosis
WHat are the signs and symptoms of Asthma?
Cough Wheezing SOB Chest Tigtness Abdominal Pain Vomiting
Acute vs Gradual onset depends on trigger
What are some triggers for asthma?
Exercise Inhaled allergens Resp infections Weather changes Stress Menstrual Cycle Airway irritants Medications Strong Emotions
What lab results are suggestive of asthma?
Eosinophelia
Elevated serum IgE
Skin testing can ID triggers
WHat else may be on the DDx with Asthma?
Upper airway disease Large Airway obstruction Recurrent aspiration or reflux Psychogenic cough Sm airway obstruction
What is charicteristic of Psychogenic Cough?
Inc with stress
Inc with attn to cough
Absent during sleep
Brassy or Honking quality
WHat are the different catgories of asthma?
Intermittent
Mild Persistent
Moderate persistent
Severe persistent
What are the long term management goals in asthma?
Reduce impairment
Reduce risk of exacerbation
WHat is the Tx of Asthma?
Annual Influenza vaccine
Smoking cessation for fam
Dec exposure to allergens
Tx comorbid conditions
What is medical management of Childhood asthma?
Long term controller meds
Quick relief meds
