4th Pediatric Infectious Diseases Conference
 
 
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Asthma in Children
ASTHMA IN CHILDREN
Dr C.T.Deshmukh
Professor of Pediatrics, K.E.M Hospital
Asthma Therapy Steps
Stepwise Asthma Therapy Summary
Asthma Therapy Steps
Continued...

Initiation of asthma therapy
Initiation of therapy :                                                                       
Initiation of asthma therapy
Initiation of asthma therapy
Better to start at higher step than patient's severity and then step down.
Initiation of asthma therapy
Achieve rapid control of symptoms by short oral course of steroids.
Initiation of asthma therapy
Alternately one can start at a step consistent with patient's severity and step up if needed.

Maintenance therapy for asthma
Start and maintain therapy as mentioned above with either single or combination therapy.
Maintenance therapy for asthma
Regular patient follow up every 1 - 6 months to decide if changes are needed in stepwise therapy.
Maintenance therapy for asthma
Before making any changes in step wise therapy check patient's compliance and environmental control measures.
Intervention alone is sufficient for treatment of those with intermittent asthma. However, patients with chronic disease need maintenance medication in addition, to prevent their daily symptoms. Patients with seasonal allergic disease may require maintenance medication, but only seasonally, and patients with chronic disease may require seasonal increases in their maintenance medication during seasonal allergic exacerbations. Adding or increasing maintenance medication at the times when increased symptoms are anticipated avoids morbidity and decreases the likelihood that urgent care will be needed.


Asthma in Children
Asthma in Children
 
 
Educational Section
 
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