Assessment of the Child with Chronic Asthma Are there other allergic disorders? - Allergic rhinitis - Eczema, etc. Other causes should be sought if there is: - Sputum - Finger clubbing - Growth failure Monitor: - Peak flow diary - Severity and frequency of symptoms - Exercise tolerance - Interference with life, time off school - Is sleep disturbed? - Use of preventer and reliever medication — are they appropriate? - Inhaler technique Consider triggers: - Allergic rhinitis needing treatment? - Allergens - animal dander, etc. - Stress #Chronic #Asthma #Assessment #diagnosis #peds #pediatrics #primarycare
