_____________asthma is controlled by inhaled corticosteroids as well as SABAs.
What is persistent asthma?
100
respiratory s/s more than 2 times a week and greater than 2 nights per month - name the level and treatment?
What is mild persistent and low dose inhaled steroid?
100
name the aerosolized steroid that can be used in the nebulizer and dosing and age
What is pulmicort respules
> 6 months of age
.25mg/2ml, .5mg/2ml, 1mg/2ml
100
________________is a lower respiratory tract infection often caused by RSV
What is bronchiolitis?
100
Down to what age in children can one use the non-sedating H1 antihistamines for hives and allergies?
What is 6 months for hive tx and 2 years of age and up for allegery symptoms
200
symptoms of asthma include _______, ______ & ______.
What is cough, dyspnea and wheezing?
200
alternative treatment for mild persistent asthma
What is cromolyn or leukotriene receptor antagonist?
200
down to what age is Advair and Spiriva approved for?
What is age 4 for Advair..100/50 bid
NOT recommended for the new Advair HFA or Symbicort (not established)
200
____________ is routinely recommended for children with RSV bronchiolitis?
What is Oxygen supplementation if O2 90%.
200
pharmacologic treatment for any allergic disorder includes what types of meds?
What are antihistamines, oral and topical decongestants, intranasal and oral corticosteroids and intranasal cromolyn sodium.
300
this medication inhibits vagally mediated bronchoconstriction and mucus production
What is inhaled ipratropium - Atrovent??
300
Exercise induced asthma typically occurs during or minutes after vigorous activity - reaches its peak ______ minutes after stopping the activity and usually resolves over the next _____________ minutes.
What is 5-10 minutes and resolves over 20-30 minutes....
300
singulair dosing and age restrictions.....
What is 4, 5, and 10 mg
< 12months - NOT recommended
12 mo - 23 mos = 4mg granule packet
2 - 5 yrs = 4 mg granules OR chewable tab
6-14 yrs = 5 mg chew tab
>15 = 10 mg tab
300
___________is recommended for infants born before 35 weeks of gestation.
What is Synagis - (palivizumab)
300
__________________ are the treatment of choice for most pts with allergic rhinitis because of their effectiveness and minimal side effects.
name 3 examples....and approved age use in children
What are intranasal steroids?
Flonase (generic) (> 4 yrs)
Rhinocort AQ (<6 yrs)
Nasocort AQ (>2 yrs)
Nasonex (>2 yrs)
400
Airway obstruction exists when the peak flow is less than _______% of the predicted value based upon age, height and gender.
What is 80%.
400
dosing for pediatric oral corticosteroids and IV steroids
What is 1 mg/kg every 6 hrs
then 1-2 mg/kg/day in divided doses - max of 60 mg /day
400
name two meds appropriate for exercise induced asthma...in young athletes and discuss timing of administration
What is albuterol and singulair
timing = shortly before exercise and...
singulair - take 2 hrs before exercise
400
__________, _____________ & ____________are not routinely recommended for children with RSV infection.
What is antibiotics, corticosteroids and ribavirin are not routinely recommended for children with RSV infection.
400
name the cells pictured..... and their significance?
What are eosinophils?
allergy response
500
__________________is a chronic disease that initially may be confused with asthma, but pts also develop GI symptoms, growth disturbances, recurrent sinus infections and pneumonia.
What is cystic fibrosis?
500
name 5 conditions that can be included in a diff dx of asthma in infants and children
What are viral bronchitis, aspiration, laryngotracheomalacia, airway stenosis, mediastinal mass, foreign body, CF, BPD, vocal cord dysfunction
500
name the 4 single steroid inhalers available for use in treatment of asthma with kids and what age may we use them?
What is Qvar, Flovent, Pulmicort and Asmanex
Ages 4- 5 and up
(Alvesco not rec for children)
500
name three other viruses that cause RSV.....
What is parainfluenza, mycoplasma, adenoviruses,
500
name the two types of allergy testing...which is more specific but not as sensitive?
What is RAST (radioabsorbant allergen testing) and skin prick testing -
skin testing more specific less sensitive than RAST