1 / 21

Acute and chronic management of childhood asthma Dr S Wa Somwe

Acute and chronic management of childhood asthma Dr S Wa Somwe Adapted from GINA and BTS guidelines. Asthma Management and Prevention Program Component 4: Manage Asthma Exacerbations. Primary therapies for exacerbations: Repetitive administration of rapid-acting inhaled β 2 -agonist

wayne
Download Presentation

Acute and chronic management of childhood asthma Dr S Wa Somwe

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Acute and chronic management of childhood asthma Dr S Wa Somwe Adapted from GINA and BTS guidelines

  2. Asthma Management and Prevention ProgramComponent 4: Manage Asthma Exacerbations Primary therapies for exacerbations: • Repetitive administration of rapid-acting inhaled β2-agonist • Early introduction of systemic glucocorticosteroids • Oxygen supplementation Closely monitor response to treatment with serial measures of lung function

  3. Component 4: Asthma Management and Prevention Program Reliever Medications • Rapid-acting inhaled β2-agonists • Systemic glucocorticosteroids • Anticholinergics • Theophylline • Short-acting oral β2-agonists

  4. Component 4: Asthma Management and Prevention Program Controller Medications • Inhaled glucocorticosteroids • Leukotriene modifiers • Long-acting inhaled β2-agonists • Systemic glucocorticosteroids • Theophylline • Cromones • Long-acting oral β2-agonists • Anti-IgE • Systemic glucocorticosteroids

  5. Children Less than 5 yrs

  6. Children Less than 5 yrs

  7. Children Less than 5 yrs

  8. Children Less than 5 yrs

  9. Children Less than 5 yrs

  10. Children age 5-12 yrs

  11. Children age 5-12 yrs

  12. Children age 5-12 yrs

  13. Children age 5-12 yrs

  14. Children age 5-12 yrs

  15. Children age 5-12 yrs

  16. Asthma in Apollo private Hospital • Trained specialist doctors • investigations to exclude/ confirm other conditions • PFT to assess severity and reversibility • 90% patients treated with inhaled corticosteroids • prompt access to Emergency services and ICCU Personal presentation, Raj Singh, Syria May 2003

  17. Levels of Asthma Control

  18. LEVEL OF CONTROL TREATMENT OF ACTION REDUCE maintain and find lowest controlling step controlled consider stepping up to gain control partly controlled uncontrolled step up until controlled INCREASE exacerbation treat as exacerbation REDUCE INCREASE TREATMENT STEPS STEP 1 STEP 2 STEP 3 STEP 4 STEP 5

  19. Without actions asthma drugs are available only for rich patients and for animals in rich countries! New Zealand. Sunday Star. Times January 4,2004 Photo : Kevin Stent

  20. “Those who care for the patients can be taught to manage cases well with what is available.” E Parry The Tropical Health & Education Trust London Thorax1997;52:589

More Related