Present clinical scenarios in paediatric pulmonology are questioning the efficacy of MDIs over nebulizers in the acute management of asthma among children below five years of age. Children of this age group present a significant challenge in the management due to difficulty in…
Asthma prevalence is increasing with corresponding increase in incidences of emergency department admissions. Pollution as well as changes in lifestyle has contributed significantly in increasing the prevalence of asthma (Dhuper et al, 2011). Certain demographic factors such as poor socioeconomic status, are also contributing to higher numbers of asthma prevalence among certain ethnic populations such as African American and Hispanic populations (Dhuper et al, 2011). Among children, asthma is found to be 10 to 15% prevalent and a major cause of admissions to the emergency departments with high morbidity and mortality rates (Kovesi et al, 2010).
Management of younger children remains a challenge as there are lot of constraints on the test results. Children show less cooperation, are more anxious and are not in the development stage to understand instructions or abide by them (Kovesi et al, 2010). The similar reasons are the cause of difficulty in diagnosis of the condition. While wheezing is a very common phenomena present in children, not all wheezing can be categorized as asthma. This is because wheezing pattern of breathing is quite similar to noisy breathing, which is caused by nasal secretions in children which they haven’t learnt to swallow (Kovesi et al, 2010). Children also show different asthma presentations as compared to adults (Kovesi et al, 2010). Therefore, the diagnosis of asthma is based mainly on symptoms and treatment responses than testing methods such as pulmonary function tests.
Bronchodilator therapy remains a mainstay in the management of asthma conditions in children. The bronchodilator therapy can be carried out either orally or through inhalation. Inhalation therapy is now the preferred method of treatment of asthma symptoms due to lesser systemic effects as compared to oral therapy. Inhalation therapy is also speedier in remission of asthma ...
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“In Asthmatic Children under the Age of 5yrs Is Spacer Inhaler More Essay - 1”, n.d. https://studentshare.net/nursing/584528-in-asthmatic-children-under-the-age-of-5yrs-is-spacer-inhaler-more-beneficial-than-a-nebulizer.
Was your clinical question due to a problem-focused or knowledge focused trigger? Acute wheezing is a common problem in children and the most commonly administered drug is albuterol or salbutamol which is a bronchodilator. The drug is administered either through metered dose inhaler or nebulizer.
In Taiwan, respiratory illnesses like asthma are the tenth leading cause of death within the general population, and Taiwan is experiencing an increasing incidence of the condition in children (Bureau of Health, 2003, p. 2). Similarly, the United Kingdom has "one of the highest rates of people with asthma of any country in the world," with the estimated number of affected citizens being over five million (Asthma UK, 2006, p.
Some developmental issues or constraints pertinent to the question of how children recognize the representations of the real world and as seen in diverse kinds of television programming, mainly the constraints concerned with symbolic processing.
Numerous children start watching TV at three months of age, and that by age two children is watching on the average of four to five hours daily.
In Taiwan, respiratory illnesses like asthma are the tenth leading cause of death within the general population, and Taiwan is experiencing an increasing incidence of the condition in children (Bureau of Health, 2003,
nistered using “Meter Dose Inhaler and Spacer” or “wet nebulization.” The most commonly applied method of administering medication to asthmatic children is wet nebulization. This method is believed to be efficient, but it exhibit undesirable consequences compared to
Non-pharmacologic method of pain reduction is meant to prevent suffering. A woman in labor may experience suffering without pain which mainly involves psychological elements such as distress or loss of control (Klossner 2006). This