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In Asthmatic Children under the age of 5yrs is spacer inhaler more beneficial than a nebulizer - Essay Example

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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…
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In Asthmatic Children under the age of 5yrs is spacer inhaler more beneficial than a nebulizer
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In Asthmatic Children under the age of 5yrs is spacer inhaler more beneficial than a nebulizer

Download file to see previous pages... 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 ...Download file to see next pagesRead More
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