Paediatric Asthma Maria Tracey Paediatric Pharmacist Jane Davis Paediatric Clinical Nurse Specialist CF/Respiratory Royal Alexandra Hospital Paisley.

Slides:



Advertisements
Similar presentations
Asthma Basics for Schools Part 1 - Overview
Advertisements

DDRC Healthcare – looking at things slightly differently… Asthma
Steps to better asthma care A guide for primary care.
ASTHMA Presented by your School Nurse.
1 Paediatric asthma The British Thoracic Society Scottish Intercollegiate Guidelines Network Thorax 2003; 58 (Suppl I): i1-i92.
RESPIRATORY PAEDIATRICS Dr Pamela Lewis. OBJECTIVES History – Key points Examination Common respiratory problems in children.
2008 Guidelines 2.4 DIAGNOSIS IN ADULTS (1) -based on the recognition of a characteristic pattern of symptoms and signs and the absence of an alternative.
Paediatric asthma Thorax 2003; 58 (Suppl I): i1-i92.
COPD Research at the University of Maryland School of Maryland COPD Clinical Research Center A member of the National Heart Lung & Blood Institute National.
Global Initiative for Asthma (GINA) What’s new in GINA 2015?
Take a Deep Breath Asthma in Children Michael W. Peterson, M.D. Professor and Chief of Medicine UCSF Fresno.
Asthma Diagnosis Prescribing Acute Management Tracey Bradshaw Respiratory Consultant RIE.
Managing asthma & Inhaler devices for respiratory disease.
Inhaler technique is it important?. Compton et al (2006) Review of evidence from 6 European countries ( Spain, Italy, France, Germany, Netherlands, UK)
Kane County Children’s Environmental Health Conference
2014 NURSES LEADING THE WAY TO IMPROVE ASTHMA OUTCOMES BARBARA MC DONAGH RN ASTHMA CLINIC FANTUS CLINIC CCHHS.
1 British Guideline on the Management of Asthma BTS/SIGN British Guideline on the Management of Asthma, May 2008 Introduction Diagnosis Non-pharmacological.
Asthma Michelle Anderson And Alex Barker. What is Asthma? Description Asthma is a complex, recurrent disease of the airways that causes shortness of breath,
British Guideline on the Management of Asthma. Aims Review of current SIGN/BTS guidelines –Diagnosing Asthma –Stepwise management of Asthma –Managing.
Clare Alexander RSCH March 2015
Paediatric Asthma 26 th November 2014 Julie Westwood Asthma Nurse Specialist RHSC
Lisa Nave Nursing Platt College. Asthma is a chronic inflammatory disease of the lungs characterized by narrowing of the airways in the lungs causing.
Elizabeth, Gladis & Jemila, RAIN.  Asthma is a chronic lung disease that affect the respiratory system. That inflames and narrows the airways.  When.
Asthma. What is asthma?  Asthma is a disease that effects the respiratory system, causing difficulty in breathing.  Asthma causes the airways in the.
Diagnosing asthma History & Physical examination Measurements of lung function – Spirometry – Peak expiratory flow Measurements of airway hyperresponsiveness.
A STHMA By: Candace Murphy. W HAT I S A STHMA ? Asthma is a chronic disease. It affects the airways and makes breathing difficult. It causes an inflammation.
Asthma Management Fine Tuning  Maximum control with minimum medication  Start with mild asthma and work up the scale (BTS/SIGN 2004)
Plymouth Health Community NICE Guidance Implementation Group Asthma inhalers for routine treatment of chronic asthma in older children (aged years)
Asthma exacerbations can be treated in multiple ways. Typically, an inhaled bronchodilator will be administered via nebulizer or MDI. Nebulizers have been.
Bronchial Asthma  Definition  Patho-physiology  Diagnosis  Management.
Asthma in children Dr Gulamabbas Khakoo BMBCh, FRCPCH
By Dalia Munoz ASTHMA. is a serious and ongoing disease that affects the airways of both adults and children. Airways are the tubes that carry air in.
Asthma Caring for children with asthma in a community program
This lecture was conducted during the Nephrology Unit Grand Ground by Nephrology Registrar under Nephrology Division, Department of Medicine in King Saud.
1 Asthma October 30, Weiss, Gergen, & Hodgson (1992)2 Pediatric Statistics Prevalence increasing School absences Estimated as more than 10 million.
Acute and chronic management of childhood asthma
Asthma Asthma and Reactive Airway Disease Definition of asthma : Inflammatory disorder of small airways characterized by periodic attacks of wheezing,
2008 Guidelines 2.1 DIAGNOSIS IN CHILDREN (1) Asthma in children causes recurrent respiratory symptoms of: wheezing cough difficulty breathing chest tightness.
GOLD Update 2011 Rabab A. El Wahsh, MD. Lecturer of Chest Diseases and Tuberculosis Minoufiya University REVISED 2011.
Component 1: Measures of Assessment and Monitoring n Two aspects: –Initial assessment and diagnosis of asthma –Periodic assessment and monitoring.
ASTHMA Sacha Ingram.
Asthma Catherine Crocker & Tricia McGinnity Paediatric Respiratory Nurse Specialist’s.
1 Asthma. 2 Disease of the airways that carry air in and out of the lungs Asthma causes: –Airways to narrow –Lining to swell –Cells to produce more mucus.
NURSING EDUCATION NORTHERN BURLINGTON COUNTY REGIONAL SCHOOL DISTRICT ASTHMAEDUCATION.
Asthma A Presentation on Asthma Management and Prevention.
Asthma Stephanie McAdams. Outline Background Causes Symptoms Treatments Conclusion Work Cited.
ASTHMA. Definition Chronic inflammation is associated with airway hyper-responsiveness that leads to recurrent episodes of wheezing, breathlessness, chest.
History Taking Zinc code: UKACL1878ea Date of preparation May 2015 AstraZeneca provided funding & reviewed for technical accuracy.
A STHMA Juan Vazquez Senior Practice Nurse Church End Medical Centre Patient Participation Group
ASTHMA MANAGEMENT AND PREVENTION PREFACE Asthma affects an estimated 300 million individuals worldwide. Serious global health problem affecting all age.
An Update in Pediatric Asthma DR.NUFOUD AL- SHAMMARI CONSULTANT PEDIATRIC PULMONOLOGIST CHAIRPERSON OF MUBARK AL-KABEER HOSPITAL KUWAIT.
Asthma Guidelines, Diagnosis and Management Alison Hughes Respiratory Specialist Nurse Solent NHS Trust.
Asthma Lynn Helliwell. Key Facts More than five million people in the UK are being treated for asthma More than five million people in the UK are being.
بسم الله الرحمن الرحيم وَإِذَا مَرِضْتُ فَهُوَ يَشْفِينِ صدق الله العظيم الشعراء 80.
Wendy Pigg Practice support Pharmacist/Independent Prescriber
A STHMA MANAGEMENT IN CHILDREN AND THE ROLE OF THE NURSE SPECIALIST Amanda Jones Paediatric Respiratory Nurse Specialist Childrens Community Team.
Management of stable chronic obstructive pulmonary disease (2) Seminar Training Primary Care Asthma + COPD D.Anan Esmail.
Breathing Easier. What is asthma? A chronic disease The lining of the airway becomes inflamed and swells. Mucus can build up. The swelling and mucus makes.
Asthma and COPD Some highlights. How the lungs work 2.
Jessica Case study.
Respiratory disorders
Asthma and chronic obstructive pulmonary disease (copd)
Bronchial Asthma Dr.Radhakrishna. S. A. Bronchial Asthma Dr.Radhakrishna. S. A.
The Modern Management of Asthma: Getting it right Part 2
Paediatric Asthma Maria Tracey Paediatric Pharmacist Jane Davis
Respiratory disorders
Childhood Asthma : Lessons still to be learnt
Introduction Project At Crown Street Surgery:
Presentation transcript:

Paediatric Asthma Maria Tracey Paediatric Pharmacist Jane Davis Paediatric Clinical Nurse Specialist CF/Respiratory Royal Alexandra Hospital Paisley

Objectives Explain the stepwise approach to the treatment of chronic asthma in children Demonstrate the choice of inhaler devices used in children Demonstrate multidosing

Statistics 5.2 million people in UK 1.1 million children

What is Asthma? Or a combination of all three Swelling Inflammation Excess mucus Asthma is a condition of the airways where there is difficulty in breathing due to

Asthma Triggers Infections (eg colds and viruses) House-dust mite Pets (furred / feathered) Second hand smoke Exercise Pollens/moulds

The Impact of Asthma Night cough, disturbed nights Restriction in activity / exercise Increased school absences Ongoing symptoms may have a detrimental effect on physical, psychological and social well-being

Children age 5-12 yrs

Combination Inhalers Steroid/LABA Can improve compliance Useful when asthma stable Lack of flexibility to  or  dose

Key Points Dose equivalence of corticosteroids CFC free corticosteroid inhalers Accurate medication history

Relievers Preventers Additional Treatments Asthma Medications

Easyhaler

Overview: Inhaler devices Inhaler devices. Thorax 2003; 58 (Suppl I): i1-i92 pMDI + spacer is preferred delivery method in children aged 0-5 years pMDI + spacer is as effective as other delivery methods for other age groups Choice of inhaler should be based on patient preference and ability to use

Multidosing Multiple puffs(up to 10) of a short-acting ß2 agonist via a spacer device is as effective as nebulised Children(and adults) with mild and moderate exacerbation of asthma should be treated by bronchodilator given from a pMDI + spacer with doses titrated according to clinical response

Summary: Paediatric asthma Inhaled steroids are the recommended preventer drug In children >5 years, add inhaled long acting ß 2 agonists rather than increasing the dose of inhaled steroids above 400mcg/day pMDI + spacer is preferred delivery method in children aged 0-5 years, and as effective as other delivery methods for other age groups

References Tel www.Asthma.Org.Uk British Thoracic Society, Scottish Intercollegiate guidelines Network (2008) British Guideline on the Management of Asthma Thorax (63) Supplement 1V