Steroids
Give single dose dexamethasone for pediatric asthma exacerbations
More children will get just ONE or TWO doses of dexamethasone for asthma exacerbations. We're seeing a shift away from the typical 3- to 5-day course of prednisone or prednisolone to a 1- to 2-day course of dexamethasone. Dexamethasone is longer acting and may cause less vomiting. Plus new evidence suggests that a SINGLE dose of dexam…
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Respiratory and Allergy
The link between asthma and GERD
Is there a link between asthma and GERD ? Gastroesophageal reflux (GERD) is common among patients with asthma but often causes mild or no symptoms. Some asthma patients are given a PPI , even if they don't have typical GERD symptoms such as heartburn ... That's because even patients without overt GERD symp…
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Respiratory and Allergy
Recommendations for using beta-blockers in patients with COPD or asthma
Alerts still pop up when beta-blockers are used in patients with COPD or asthma , but these shouldn't always raise a red flag. Many of us were taught to avoid beta-blockers in these patients because of concerns about bronchoconstriction. But cardioSELECTIVE options (metoprolol [ Seloken Zoc ], bisoprolol [ Concor ], nebivolol [ Nebilet ], etc) don't cause mo…
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Respiratory and Allergy
Approach to asthma
Overview ㅡ Chronic inflammatory disorder of airways that causes recurrent episodes of wheezing, breathlessness, chest tightness, and coughing. Causes may be due to genetic factors or environmental exposures (see "Risk Factors" - table 1) . Table (1). Pathophysiology and risk factors of asthma …
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