Learn about Steroids for Asthma in Children Video

Michael Marcus, MD .. http://www.TheDoctorsVideos.com .. Director Pediatric Allergy & Pulmonary -Maimonides Medical Center .. Fellowship:Children’s Hospital of Philadelphia .. Castle Connolly Top Doctor
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Interviewer: If the child was having asthma, many chance we give oral cortical steroids. When and why you select oral cortical steroids inhaled. Interviewee: If the patient is having an asthma attack where controller medication is were not successful to prevent and his reliever medication is be at agonist either of— was not successfully relieving the symptoms. Oral steroids would be the next steps in therapy oral steroids are getting in order to decrease the inflammation and acutely relieve that emergency piece of asthma. The difficulty breathing, releasing this medication is very important rescue medications to prevent the more serious complications can occur if the patient’s asthma is out of control. The important thing to remember is that when giving oral cortical steroids more severe complications can occur. Given this medication for only short periods of time will leave or prevent many of this complications and it is the long term use that’s the most important problem. However if the patient continually gets repeated short courses of oral cortical steroids complications can still be seen. Interviewer: If the child is having shallow breathing you don’t give cortical steroids you go to emergency or call 911, that true? Interviewee: Absolutely. You should have a plans to how to treat your child or yourself if your asthma symptoms develop, your first step is to start with the day that agonist and what you give it a fun form or by a nebulizer you should give it base on your instructions your doctors giving you. If your symptoms do not get relief promptly then visiting your doctor or call 911 or go immediately to the emergency is important. Because it’s only a bare that a full evaluation could be made and the proper therapy can do be institute. Interviewer: That’s why if sometimes when a school nurse or somebody outside the family see if the kid is put in a very compromising position not knowing the kid there at well. In such times they are trying to do the right thing there is a big delay when the kid is called acidotic and all that is similar work in acidosis, is that true? Interviewee: This is very true, the school nurses are a very important part of our treatment team yet she is in one of the most difficult position because she is limited in the resources that she has after disposal. We frequently will give the nurse the ability to give one dose of medication in school to relieve milder symptoms. However, I frequently do not allowing nurse to give more than a single dose and with much rather that patients come to my office or its severe call directly to the hospital so that more definitive and comprehensive therapy can be instituted. Remember if your child is having asthma and it’s been controlled and all of the sudden is starting to have symptoms in school it s very important to identify the class of those symptoms not merely treat those symptoms. If the nurse is giving the medication but there is no investigation as too much trigger the problem the symptoms will inhabitable come back over and over again. Interviewer: Thank you very much.

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