Pre-School Wheeze in Children Flashcards
1
Q
What % of children have an episode of wheeze before 18 months?
A
25%
2
Q
What are the 2 types of pre-school wheeze in children?
Describe them.
A
- Episodic viral wheeze: only wheezes with a viral URTI and symptom free in between.
- Multiple trigger wheeze: multiple factors cause wheeze. (e.g. URTI, exercise, allergens, cigarette smoke.
3
Q
Which wheeze is more likely to develop asthma in later life?
A
Multiple trigger wheeze.
4
Q
How do you manage episodic viral wheeze?
A
- Treatment is symptomatic only
- First-line is treatment with short acting beta 2 agonists (e.g. salbutamol) or anticholinergic via a spacer
- Next step is intermittent leukotriene receptor antagonist (montelukast), intermittent inhaled corticosteroids, or both.
- There is now thought to be little role for oral prednisolone in children who do not require hospital treatment.
5
Q
How should you manage multiple trigger wheeze?
A
Trial of either inhaled corticosteroids or Monteleukast for 4 to 8 weeks.
6
Q
In all children with wheeze, what should you advise their parents to do?
A
Stop smoking.