Asthma

• What is asthma?

  Chronic lung disorder characterised by narrowing of the airways = SOB, wheezing and cough
• When is asthma usually diagnosed?

  After the age of 5
• Who does asthma affect?

  Both adults and children
• What is the main reason children present to healthcare services with an exacerbation of asthma symptoms?

  Incorrect management and non-compliance
• What are the symptoms of asthma and how does it present?

  Wheezing

  Breathlessness

  Tight chest

  Coughing

  SOB and increased WOB

  Exhaustion

  Symptoms disturbing sleep

  Known trigger contact

  Using medication with little or no effect
• How is asthma managed?

  Minimise distress

  Peak flow for severity

  Oxygen

  Inhaled or nebulised salbutamol

  Consider ipratropium, prednisolone, magnesium

  Senior and/or specialist support

  Management plan

  Education
• What should a metered dose inhaler always be given with?

  Spacer
• How do you manage asthma in 5-16 year olds?

  Adult management with paediatric ICS dose