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Asthma: Recognition and Management in the Pediatric Population

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Asthma: Recognition and Management in the Pediatric Population

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    1. Asthma: Recognition and Management in the Pediatric Population Lytitia Shea, MD Pediatric Hospitalist Peyton Manning Children’s Hospital Indianapolis, Indiana

    2. Reversible Diffuse lower airway obstruction Airway inflammation Edema Bronchial smooth muscle reactivity Mucus plugging Definition

    3. Progressive respiratory failure due to asthma in whom conventional forms of treatment have failed Any patient not responding to the first several treatments of bronchodilators should be considered to be in status Remember—status asthmaticus can result in death Status asthmaticus

    4. 10% of children in the US (2009) Most common chronic illness in childhood Leading cause of school absenteeism Third most common reason for hospitalization Childhood: Increased prevalence in boys Adulthood: Increased prevalence in women Epidemiology

    5. All races: 8.2% Puerto Rican 16.6% Black: 11.1% Indian/Alaskan native: 8.8% White: 7.8% Total Hispanic: 6.3% Asian: 5.3% Other: increase in poverty, NE or Midwest Asthma Prevalence (all ages):

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