On the Coast – Families Issue 98 I February/March 2019 | Page 9
Having a
child with asthma
can be daunting but by
inhale the
medication. This
recognising the signs of
asthma, being on the correct process is repeated
until they have
medication and having
completed their
required dose. It is
an asthma action plan,
tricky for children to
symptoms can be well
coordinate using a
puffer without a spacer
controlled.
asthma require a
preventative
however if they
are getting
asthma
symptoms at
least once a week
you should discuss
with your GP if they
require a trial of a
preventative medications.
Rescue treatment in the form of
oral steroids (liquid or tablet form) is
sometimes required for severe flare
ups if the reliever and preventative
medications are not controlling
symptoms properly. They may be given
to you by your doctor or hospital but
usually only have to be taken for 3 – 5
days.
Side effects of treatment
Possible side effects of reliever
medication can include a rapid heart
rate, shaky hands and hyperactivity.
Side effects of steroid inhaled puffers
include oral thrush, and voice
changes. This risk can be reduced by
rinsing out their mouth after use and
using a spacer.
Montelukast or Singulair tablets
have had rare reports of behavioural
changes in children. You should
discuss this with your doctor if you
are concerned.
The Use of Asthma Puffers and Spacers
Asthma puffers are best given to children
via a spacer. If they are under 4 they
should use a spacer with a mask. A spacer
is a clear plastic chamber that you can
connect the puffer to at one end and it
has a mouth piece at the other. When you
administer one puff into the plastic
chamber the child takes several breaths to
and some adults are better
off using spacers too! Studies
have shown that using Ventolin via a
spacer is just as effective as using a
nebuliser (a machine that delivers liquid
Ventolin via a mask). Your doctor, nurse,
asthma educator or chemist can show you
how to use a puffer and spacer correctly.
Asthma Action Plan’s
If your child has asthma it is important
that it is reviewed with your doctor at
least every 6 months. Your doctor can
write an Asthma Action Plan which
outlines how to treat their asthma
symptoms when it is well controlled,
poorly controlled and what to do in the
event of an emergency. A copy of this
plan can be provided to any of your
child’s carers (e.g pre-school and
primary school teachers) so they know
what to do if your child experiences any
asthma symptoms while they are under
their care.
Summary
Asthma is common in children and is a
frequent cause of hospital admissions
but it can be controlled if it is well
managed. Ensure that you are aware of
what triggers your child’s asthma, what
their symptoms are, that they are on
the correct medication and are using it
properly. An asthma action plan should
be completed at least every year to make
sure they are on the optimal treatment.
RESOURCES
In an emergency call triple zero • Your local Emergency Department • Your GP
Asthma Australia www.asthmaaustralia.org.au
Sydney Children’s Hospitals Network www.asthmainchildren.org.au
Georgia enjoys all aspects of general practice and has been working at Your Family Doctors at Erina for
the last 12 years. The practice has lovely new rooms and has a fabulous team of Doctors and Nurses,
some of whom are accepting new patients. They pride themselves on delivering good quality health care,
with that special personal touch. For more information call 4365 4999, check the website
www.yourfamilydoctors.com.au or like them on facebook.
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FEBRUARY/MARCH – ISSUE 98
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