Asthma FAQs - Pediatric Oncall

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Rakesh Kumar, Binay Ranjan, Manjul Vijay Department of Pediatrics, Katihar medical college, Katihar...

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	Specialist Answers
Question Category : Asthma
In childhood asthma cases we generally put patients on preventers in form of inhalers. My query is how long these children should be continued on preventer inhalation therapy? This is a question generally asked by parents. Check Out the Answer
Question Category : Asthma
What is the use of Spirometer in Pediatric Patients other than using for diagnosis and prognosis of Asthma? Check Out the Answer
Question Category : Asthma
I have a 4 year old admitted at present in pediatrics ICU ventilator. He is known to suffer from bronchial asthma, also known as brittle asthma. He came in with a very bad attack of asthma with respiratory acidosis and was ventilated. Now he is still ventilated and is on iv hydrocortisone ,Iv salbutamol infusion 4 mcg/kg/min , iv terbutaline prn basis (when has desaturation secondary to bronchospasm),nebuliser salbutamol two hourly to hourly , MDI salmeterol 100 mcg bd,MDI inflammide 800 ,cg bd and he still goes for bronchospasm on and off usually secondary to secretion. The secretion are not much. What else can i do for him? He does not seem to be heading to the way of improvement. Will MGSO4 helpful to reduce the bronchospam in him? Check Out the Answer
Question Category : Asthma
What is no cold freon effect of spacers used in asthma? How is it beneficial? Check Out the Answer
Question Category : Asthma
What is the role of FeNO₂ in management of Asthma? What is the equipment? Where is it available? What is probable cost? Check Out the Answer
Question Category : Asthma
What is the role of seretide in asthma? At what age should a child begin the use of inhalers? Does prolong use of steroid in asthma affect the growth of the child? How long does it take for the symptoms and signs of a child with brochiolitis to resolve? What are the causes of prolonged fever in a child with meningitis? Check Out the Answer
Question Category : Asthma
SIR, my son ,7 years old, is asthmatic. He is on inhaled fluticason {100} by discus, twice per day. On missing the dose, it leads to an attack.he was classified as moderate persistent asthma. I want to know for how long will he need to use this drug? He washes his mouth after each inhalation. I want to know what is the effect of this drug on his teeth? I noticed one permanent tooth is not fixed and it moves in its place. Do I need to give him calcium? Thank you. Check Out the Answer
Question Category : Asthma
A 6yrs old female child known to have a case of mild persistent asthma was on budecort inhaler and motilukast. Over six months ago budecort was tapered off. She still is continuing Montelucast and is disease free. How long should I continue with Montelucast? Check Out the Answer
Question Category : Asthma
Is Montelucast indicated in recurrent urti with high eosinophil count? dr_schatterjee18@yahoo.com Check Out the Answer
Question Category : Asthma
I want to know whether there is any role of steroid inhaler in allergic bronchitis. not responding to oral anti allergic and when other causes of cough are ruled out. Check Out the Answer
Question Category : Asthma
Sir, My doubt is about the grading of asthma. Asthma is a disease, where the symptoms such as cough and wheezing are more at night compared to the day time. But when we look at the grading, it appears that the night symptoms are comparatively less frequent than the day symptoms. For example, in moderate persistent asthma, criteria for symptoms - are daily symptoms and for nocturnal symptoms it is more than once a week. If a person is having daily asthmatic symptoms, won’t he be having daily nocturnal symptoms as well? To meet the criteria of mild persistent asthma, you need to have symptoms more than once a week, but need to have the nocturnal symptoms more than twice a month only. According to the standard teaching, if someone is having asthmatic symptoms more than once a week, he will definitely have night symptoms at the same or increased frequency. I hope that I have made my point clear. Please give your valuable opinion. Dr Manoj Chandran. Specialist Pediatrician Musalla Medical center. Dubai,UAE. Check Out the Answer
Question Category : Asthma
What is the role of chlorpheniramine in the management of Asthma. What is the role of ketotifen in asthma and other forms of Atopy? Can you send me the links of the sites that i can get expected peak flow rates of children? Check Out the Answer
Question Category : Asthma
Which one is preferable in management of pediatric a asthma- valveless or valved spacer device & why? Which is the better choice- anatomical shaped mask or round shaped face mask along with spacer device and why ? Check Out the Answer
Question Category : Asthma
Are colorless expectorant advisable in Asthmatic patients? Check Out the Answer
Question Category : Asthma
What is cool mist? How should it to be given to a child suffering from croup Q2? Is there any different preparation of adrenaline for nebulisation or can we use commonly available Inj. Adrenaline? What is the dosage for nebulisation & how frequently it can be given & What are its side effects? Check Out the Answer

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