A child is having nocturnal asthmatic attack 2 times a day in a week, daytime attack in 3 times or more, can be categorised as?
Correct Answer: Moderate persistent asthma
Description: Classification Of Childhood Asthma: Asthma Severity Days with symptoms Nights with symptoms Lung function Long term control Quick relief Medication Step 1 : Mild intermittent < 3 per week < 3/month FEV1 or PEF =80% of predicted; PEF variably <20% No daily medication needed Sho acting Beta- agonist as needed and before exercise; use =3 times /week may indicate need to initiate long term control therapy Step 2:Mild persistent = 3/week 3-4 /month FEV1 or PEF =80% of predicted; PEF variability 20 - 30% Anti-inflammatory: either low dose inhaled glucocoicoids, cromoglycate. nedocromil, or leukotriene modifier. Sustained-release theophylline is an alternative Sho acting Beta- agonist as needed and before exercise; daily use or increasing use may indicate need for additional long term control therapy Step 3: Moderate persistent Daily symptoms, daily use of sho acting beta- agonists >1 time/week FEV1 or PEF 60-80% of predicted; PEF variability >30% Anti inflammatory: inhaled coicosteroids (median dose) or inhaled glucocoicoids ( low dose) and either long acting beta agonist (LABA ), leukotriene modifier, sustained release theophylline, or LABA tablets Sho acting beta agonist as needed and before exercise; daily use or increasing use may indicate eed for additional long term control therapy. Step 4: severe persistent Continual symptoms, limited physical activity, frequent exacervations Frequent FEV1 or PEF =60% of predicted; PEF variability>30% Anti inflammatory: inhaled glucocoicoids (high dose) and either long acting beta- agonist (LABA ), leukotriene modifier, sustained release theophylline, or LABA tablets Oral glucocoicoids if needed. Sho acting beta agonists as needed and before exercise; daily use or increasing use may indicate need for additional long term control therapy Ref: Nelson's Pediatrics 17/e, Page 767.
Category:
Pediatrics
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now