{"id":303,"date":"2017-03-26T12:37:57","date_gmt":"2017-03-26T12:37:07","guid":{"rendered":"http:\/\/papergp.com\/index.php\/respiratory\/asthma\/"},"modified":"2023-01-24T11:25:25","modified_gmt":"2023-01-24T11:25:25","slug":"asthma","status":"publish","type":"page","link":"https:\/\/papergp.com\/index.php\/respiratory\/asthma\/","title":{"rendered":"Asthma"},"content":{"rendered":"<div class=\"content-box-blue\">\n<h4><strong>Data gathering<\/strong><\/h4>\n<ul>\n<li>Red flags\n<ul>\n<li>weight loss, haemoptysis<\/li>\n<\/ul>\n<\/li>\n<li>Others\n<ul>\n<li>triggers, night cough, inhaler frequency, technique, PO steroids\/ITU admissions<\/li>\n<li>parental smoking<\/li>\n<li>pets<\/li>\n<\/ul>\n<\/li>\n<li>Examine\n<ul>\n<li>general respiratory exam<\/li>\n<li>observations: sats, RR, HR<\/li>\n<li>other\n<ul>\n<li>peak flow<\/li>\n<li>inhaler technique<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4><strong>Clinical management<\/strong><\/h4>\n<ul>\n<li>Investigations\n<ul>\n<li>spirometry with reversibility testing, PEFR diary<\/li>\n<li>CXR<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Explanation\n<ul>\n<li>muscles of airway walls tighten so airway becomes more narrow. the lining also gets inflamed furthering narrowing the airways.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Treatment\n<ul>\n<li>Lifestyle &#8211; smoking cessation, allergen avoidance<\/li>\n<li>stepwise (SABA -&gt; inhaled steroid 400mcg -&gt; LABA -&gt; montelukast -&gt; PO steroids)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Follow-up \/ Safety net<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4>Oral corticosteroid doses for asthma exacerbations<\/h4>\n<ul>\n<li>Adult or child over the age of 12 years \u2013 40\u201350 mg once a day for 5 days.<\/li>\n<li>Child 6 to 12 years \u2013 30\u201340 mg once a day for 3 days.<\/li>\n<li>Child 2 to 5 years \u2013 20 mg once a day for 3 days.<\/li>\n<li>Child under 2 years \u2013 10 mg once a day for 3 days.<\/li>\n<\/ul>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Data gathering Red flags weight loss, haemoptysis Others triggers, night cough, inhaler frequency, technique, PO steroids\/ITU admissions parental smoking pets Examine general respiratory exam observations: sats, RR, HR other peak flow inhaler technique &nbsp; Clinical management Investigations spirometry with reversibility testing, PEFR diary CXR Explanation muscles of airway walls tighten so airway becomes more narrow. &hellip; <a href=\"https:\/\/papergp.com\/index.php\/respiratory\/asthma\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Asthma<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":300,"menu_order":58,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-303","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/303","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=303"}],"version-history":[{"count":7,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/303\/revisions"}],"predecessor-version":[{"id":2203,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/303\/revisions\/2203"}],"up":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/300"}],"wp:attachment":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/media?parent=303"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}