Advertisement
Cine y Pediatría 8
Article not rated

Vol. 7 - Num. 2

Asthma in child and adolescent

Management of the acute asthma

F Echávarri Olavarría, Javier Pérez-Lescure Picarzob


bUnidad de Cardiología Infantil. Servicio de Pediatría. Hospital Universitario Fundación Alcorcón. Alcorcón. Madrid. España.

Reference of this article: Echávarri Olavarría F, Pérez-Lescure Picarzo J. Management of the acute asthma. Rev Pediatr Aten Primaria. 2005;7 Supl 2:S107-125.

Published in Internet: 30-06-2005 - Visits: 4529

Abstract

Before starting treatment for paediatric acute asthma a brief patient data must be obtained about previous asthma history. Treatment should include the use of oxygen, shortacting beta-adrenergic drugs, and systemic steroids. Mild and moderate asthma attacks can be treated at the Primary Care Paediatric Office, where oxygen source and a pulsyoxymeter device should be available. Drug dosage and administration schedules must be modified in relation with the exacerbation severity and patient response to therapy. In severe acute asthma, addition multiple inhaled ipratropium doses may bring some benefits to the betaadrenergic drugs alone. The best way for both beta-adrenergic and ipratropium is inhaled way, nebulization or inhalation with an inhalator and spacer, and it is necessary to be sure that child use the spacer properly. Steroids have an excellent anti-inflammatory action, by modulating the synthesis, liberation and activity of inflammation mediators, and its effectiveness has been shown when used early and in a systemic pattern. The clinical effect of steroids is not immediate, therefore must not be the first nor the only drug used. Currently, inhaled administration of steroids in the treatment of acute asthma exacerbation is not recommended. In case of severe asthma exacerbation, there are other therapeutic options as theophylline, magnesium sulphate, and other Intensive Care Unit measures if necessary.

Keywords

Acute asthma Asthma Drug therapy Paediatrics

This content is not available in html format but you may download it in Acrobat Reader (PDF).

Comments

This article has no comments yet.