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20160425222447 Ben  
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''2011 British Thoracic Society''
''Under 5''
step 1 - SABA prn
step 2 - inhaled steroids 200-400/day or leukotriene receptor antagonist
step 3 - age 2-5 add in LRA (or ICS if possible), age<2 - refer resp paed 
step 4 - refer resp paed
''Over 5'' (sim to adult)
step 1 - SABA prn
step 2 - ICS 200-400/day
step 3 - LABA and assess - if OK continue, if helps but still not great inc ICS (400), if no help, stop LABA and inc ICS (400) and consider LRA or SR theophylline
step 4 - high dose ICS (800)
step 5 - oral steroids / refer

''Oral steroids'' - for all kids with exacerbation
for 3-5 days
2-5yr - 20mg/day (1-2 mg/kg od max 40)
 >5yrs - 30-40mg/day (1-2 mg/kg od max 40)