Penny’s story – Asthmatic
Self-ventilating
Case summary
- 7-year-old girl with acute asthma exacerbation
- Prior hospitalisations, seasonal allergies, normally manages asthma using pMDI with spacer
- Wheezing with symptoms of an upper respiratory infection for ~ 3 days; no improvement with home treatment
- Presented with moderate respiratory distress in the emergency department
Treatment
- Rescue beta-agonist and anticholinergic treatment administered via Aerogen Ultra
Patient outcomes
- Bronchodilator response achieved with one dose
- Admission to hospital not required
pMDI, pressurised metred-dose inhaler.
Not based on a specific patient but is representative of common clinical situations. Patient journey developed based on: Moody GB, Luckett PM, Shockley CM, Huang R, Ari A. Clinical efficacy of vibrating mesh and jet nebulizers with different interfaces in pediatric subjects with asthma. Respir Care. 2020;65(10):1451–1463.
Global Initiative for Asthma. 2019 GINA Report: Global Strategy for Asthma Management and Prevention. Available at: https://ginasthma.org/gina-reports/. Accessed: 21 January, 2020).
Scarfone RJ. Acute asthma exacerbations in children younger than 12 years. In: Post TW, ed. Acute asthma exacerbations in children younger than 12 years: Emergency department management. UpToDate; 2022. Available at: https://www.uptodate.com/contents/acute-asthma-exacerbations-in-children-younger-than-12-years-emergency-department-management. Accessed: 11July, 2022.
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