{"id":1747,"date":"2017-08-21T07:31:37","date_gmt":"2017-08-21T07:31:37","guid":{"rendered":"http:\/\/papergp.com\/index.php\/paediatrics\/acute-asthma-in-a-child\/"},"modified":"2023-01-24T11:25:25","modified_gmt":"2023-01-24T11:25:25","slug":"acute-asthma-in-a-child","status":"publish","type":"page","link":"https:\/\/papergp.com\/index.php\/paediatrics\/acute-asthma-in-a-child\/","title":{"rendered":"Acute asthma in a child"},"content":{"rendered":"<div class=\"content-box-blue\">\n<h4>Risk factors<\/h4>\n<ul>\n<li>Recent hospital admission<\/li>\n<li>Previous severe attack<\/li>\n<li>Young age<\/li>\n<li>Known cardio-respiratory illness<\/li>\n<li>Significant co-morbidity<\/li>\n<li>Already taking oral steroids<\/li>\n<li>Concerns over ability to cope at home<\/li>\n<li>Food allergy<\/li>\n<\/ul>\n<h4>Consider other diagnoses if<\/h4>\n<ul>\n<li>Pneumonia &#8211; fever, productive cough<\/li>\n<li>Epiglottitis &#8211; dysphagia<\/li>\n<li>Croup &#8211; inspiratory stridor<\/li>\n<li>Hyperventilation &#8211; peripheral tingling<\/li>\n<li>Asymmetry on auscultation<\/li>\n<li>Excessive vomiting<\/li>\n<li>Anaphylaxis<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4>Clinical management<\/h4>\n<ul>\n<li>Investigations\n<ul>\n<li>Peak flow\n<ul>\n<li>Moderate &gt;50% of predicted<\/li>\n<li>Amber &#8211; 33 &#8211; 50% of predicted<\/li>\n<li>Life threatening &#8211; &lt;33% of predicted<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li>Treatment\n<ul>\n<li>Mild-Moderate\n<ul>\n<li>Up to 10 puffs of salbutamol via spacer with facemask<\/li>\n<li>Prednisolone\u00a0OD for three days<\/li>\n<li>Re-assess after 15-30 minutes<\/li>\n<\/ul>\n<\/li>\n<li>Severe\n<ul>\n<li>999<\/li>\n<li>High flow oxygen, 10 puffs salbutamol via spacer\/nebuliser, prednisolone<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li>Follow-up \/ Safety-net\n<ul>\n<li>Check inhaler technique<\/li>\n<li>See again in 48hr<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4>Prednisolone doses<\/h4>\n<ul>\n<li>&lt;2 years old &#8211; 10mg OD<\/li>\n<li>2-5 years old &#8211; 20mg OD<\/li>\n<li>5-7 years old &#8211; 30mg OD<\/li>\n<li>&gt;7 years old &#8211; 40mg OD<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Risk factors Recent hospital admission Previous severe attack Young age Known cardio-respiratory illness Significant co-morbidity Already taking oral steroids Concerns over ability to cope at home Food allergy Consider other diagnoses if Pneumonia &#8211; fever, productive cough Epiglottitis &#8211; dysphagia Croup &#8211; inspiratory stridor Hyperventilation &#8211; peripheral tingling Asymmetry on auscultation Excessive vomiting Anaphylaxis &nbsp; &hellip; <a href=\"https:\/\/papergp.com\/index.php\/paediatrics\/acute-asthma-in-a-child\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Acute asthma in a child<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":96,"menu_order":79,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1747","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/1747","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/comments?post=1747"}],"version-history":[{"count":3,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/1747\/revisions"}],"predecessor-version":[{"id":1949,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/1747\/revisions\/1949"}],"up":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/96"}],"wp:attachment":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/media?parent=1747"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}