Wheeze in childhood: is the spacer good enough?
- Author:
Veena RAJKUMAR
;
Barathi RAJENDRA
;
Choon How HOW
;
Seng Bin ANG
1
Author Information
1. Family Medicine Service and Menopause Unit, KK Women's and Children's Hospital, 100 Bukit Timah Road, Singapore 229899. ang.seng.bin@kkh.com.sg.
- Publication Type:Journal Article
- MeSH:
Asthma;
drug therapy;
Child;
Cough;
Drug Delivery Systems;
Humans;
Inhalation Spacers;
Nebulizers and Vaporizers;
Respiratory Sounds
- From:Singapore medical journal
2014;55(11):558-discussion 563
- CountrySingapore
- Language:English
-
Abstract:
Max was treated with SABA using an MDI and spacer with facemask and responded well to the initial treatment. You explained to the parents that nebulisers are neither required nor recommended in the treatment of wheezing in their child's situation. You advised the parents on the proper technique of MDI use with spacer and facemask, as well as care of the equipment. You also gave them a clearly written action plan regarding the efficient management of the next episode of wheeze with MDI and spacer. You further explained the side effects of oral bronchodilators and nebulisers, and why you refrained from using them. Max was given a follow-up appointment to assess his progress, and his parents were advised on the situations when they should go to a doctor or the emergency department.
