Pre-School Wheeze in Children Flashcards

1
Q

What % of children have an episode of wheeze before 18 months?

A

25%

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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.
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3
Q

Which wheeze is more likely to develop asthma in later life?

A

Multiple trigger wheeze.

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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.
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5
Q

How should you manage multiple trigger wheeze?

A

Trial of either inhaled corticosteroids or Monteleukast for 4 to 8 weeks.

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6
Q

In all children with wheeze, what should you advise their parents to do?

A

Stop smoking.

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