Viral Wheeze Flashcards Preview

Paediatrics > Viral Wheeze > Flashcards

Flashcards in Viral Wheeze Deck (12)
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1
Q

What is a viral wheeze?

A

A wheeze that is only present in response to viral infection

2
Q

How common is viral wheeze?

A

It accounts for most pre-school wheeze

3
Q

How does viral wheeze compare to asthma?

A

They have similar symptoms but are different conditions, however some children with viral wheeze may then develop asthma in the future

4
Q

What causes a viral wheeze?

A

Narrowing of the airways due to inflammation in response to viral infection

5
Q

What causes viral wheeze?

A

Viruses that cause the common cold

6
Q

What are the risk factors for a viral wheeze?

A
  • Maternal smoking during pregnancy
  • Second hand smoke inhalation
  • Prematurity
  • Male gender
  • Previous bronchiolitis
7
Q

What are the symptoms of a viral wheeze?

A
  • Wheeze
  • Tachypnoea
  • SoB
  • Difficulty feeding
8
Q

What are the differentials for viral wheeze?

A
  • Asthma

- Bronchiolitis

9
Q

How is a viral wheeze usually managed?

A

Salbutamol via a spacer - a nebuliser if the child is very breathless

10
Q

What medication can be given to reduce inflammation?

A

Prednisolone for 2-3 days

11
Q

What other medications may be useful?

A

Montelukast or ipratropium

12
Q

Do most children with viral wheeze need a regular preventer?

A

No

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