A most common mode of treatment of a 1-year-old child with asthma is –
Correct Answer: Inhaled short acting beta 2 agonist
Description: Treatment of asthma
Treatment of asthma can be divided into -
A) Treatment of chronic asthma
B) Treatment of acute exacerbation -
Treatment of mild, moderate or severe exacerbation
Treatment of life-threatening exacerbation (status asthmaticus)
Treatment of chronic asthma
Treatment of chronic asthma is given to control asthma and to prevent acute exacerbation.
Severity of asthma is classified on the basis of -
The frequency of daytime symptoms
The frequency of nighttime symptoms
The degree of airflow obstruction (FEV1)
Peak expiratory flow (PEF) variability
For children less than 5 years of age, severity is classified on the basis of (1) and (2) only because young children cannot perform the manoeuvre required for lung function measurement ((3) & (4)).
I) Mild intermittent
Symptoms for ≤ 2 days/week
Symptoms for 5 ≤ 2 night/month
FEV1 80%
PEF variability < 20%
2) Mild persistent
Symptoms > 2days / week
PEF variability 20-30%
Symptoms >2 night / months
FEV1 80%
3) Moderate persistent
Day symptoms daily
Symptoms > I night/week
FEV1 > 60% - < 80%
PEF variability >30%
A stepwise pharmacological therapy is indicated.
4) Severe persistent
Continuous day symptoms
Frequent night symptoms
FEVi 60%
PEF variability >30%
Category:
Pediatrics
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