A member asked:

How can you treat pediatric asthma?

10 doctors weighed in across 3 answers
Dr. Michael Engel answered

Specializes in Pediatric Hematology and Oncology

Reactive airway dz: Treatment depends upon severity of disease. Some patients, those with mild and infrequent flares, are managed with a rescue medication like albuterol or xopenex (levalbuterol). Flares are treated with steroids (to reduce airway inflammation), sometimes with magnesium, and always with a rescue agent. Pts with recurrent flares receive a maintenance medication (an inhaled steroid) daily.Rx tailored to pt needs.

Answered 9/14/2013

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Info available: There has been much work on developing evidence based guidelines for asthma care. Patients who get evidence based care have better outcomes. Here is a link to a valuable document: http://www.Nhlbi.Nih.Gov/guidelines/asthma/asthma_qrg.Pdf generally, your child should be receiving care that is coherent with these guidelines. Good luck.

Answered 4/17/2014

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Dr. Luis Matos answered

Specializes in Pediatric Allergy and Asthma

Pediatrics is 0-18yr: Years ago there were very simple guidelines that are very helpful. If you wheeze, use rescue (Albuterol), If you need rescue twice in a wk, add controller (nebulized or inhaler inflammatory steroids (ICS), if mild montelukast). If you have severe episodes that need oral steroids (Prednisone or Prednisolone) then it is safer to use ICS continuously. Step up or step down treatment as symptoms change

Answered 7/2/2015

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