Respiratory Medicine — Flashcards

Flashcard 501: Long-term management of asthma for children aged 5-16 is very similar to adults = Step 1 = _____ Step 2 = SABA + paediatric ICS (low dose inhaled corticosteroids) Step 3 = SABA + paediatric ICS + LTRA (leukotrine receptor antagonist)

Answer: SABA

Flashcard 502: Management of severe/life-threatening asthma in children requires _____ and treatment with Oxygen, SABA, Ipratropium, and Steroids.

Answer: immediate hospital admission

Extra: Severe/Life-threatening asthma features in children: SpO2 <92%, PEFR <33-50% predicted, silent chest, cyanosis, exhaustion, or hypotension. Management requires immediate hospitalization. SABA is given via nebulizer or spacer. Continuous monitoring is essential.

Flashcard 503: What is the management of mild to moderate acute asthma in children? (2...)\n_____

Answer: \nBronchodilator therapy \nBeta-2 agonist via a spacer → 1 puff every 30-60 seconds → max. 10 puffs\nIf symptoms not controlled, repeat & refer to hospital\nSteroid therapy \nGiven to all children with an asthma exacerbation\n3 days oral prednisolone (but can be given longer if necessary)\n<2yrs = 10 mg OD\n2-5yrs = 20mg OD\n>5yrs = 30-40mg OD