ASTHMA MANAGEMENT in Children

PRATEEK CHHAJERPGDPM-05

IIHMR University, Jaipur

Fear of steroids

Heavynebulisation

Choice of right device

Oral vs. Inhaled Lack of knowledge &

time vs. more patients

Poor patient/parent

education

Cough or Wheeze

Heterogenous Disease/varying

phenotypes

Acceptance of Asthma

diagnosis/label

Underdiagnosed/Misdiagnosed

Issues in Pediatric Asthma

Tools to Diagnose

• Good History Taking (ASK)

• Careful Physical Examination (LOOK)

• Investigations (PERFORM) – above 5 years only

Medications to Treat Pediatric Asthma

1. Long-term control- Taken daily over a long period of time.

Used to reduce inflammation, relax airway muscles, and improve symptoms and lung function-Inhaled corticosteroids (ICS)-e.g. Beclomethasone-Long-acting beta2-agonists (LABA)-e.g. Salmeterol-Leukotriene receptor antagonist (LTRA)-e.g. Cromolyn

2. Quick relief- Used in acute episodes-Generally short-acting beta2agonists-e.g. Albuterol

Drug delivery systems

• PMDI- Pressurized metered dose inhalers• Syrups• Asthmatic pumps

THANK YOU