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afya
AsthmaPaed
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> <2yrs more likely to grow out of it by 6, 60% <3yr will stop wheeze by 6yr male - inc pre-pubertal, Female - inc pubertal think - usually viral origin, think growth, CVS, TB, (low birth weight - inc risk viral associated wheeze) ||moderate|severe|life-threatening| |2-5yr|SpO2 >92%, no severe features|SpO2 <92%, HR >140, RR >40, too breathless to talk or feed, use accessory muscles|silent chest, poor resp effort, agitation, altered conscious, cyanosis| |>5yrs|SpO2 >92%, PEF >50% best, no severe features|SpO2<92%, PEF33-50% best, HR>125, RR>30, can't complete sentances, use accessory muscles|SpO2 <92%, PEF <33%, silent chest, poor resp effort, agitation, altered conscious, cyanosis| ||SABA - via spacer 1 puff every 15-30 seconds up to 10 puffs, repeat after 10-20mins, if not controlled send to hospital|send to hospital|send to hospital|
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