General Practice 2022

Child asthma: how to care for the babyê with asthma

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Child asthma: how to care for the babyê with asthma
Child asthma: how to care for the babyê with asthma

Childhood asthma is more common when one parent is asthmatic, but it can also develop when the parents do not suffer from the condition. Asthma symptoms can manifest in childhood or adolescence.

Symptoms of baby asthma may include:

  • Feeling short of breath or wheezing when breathing, more than once a month;
  • Cough caused by laughter, intense crying or physical exercise;
  • Cough even when baby doesn't have the flu or cold.

There is a greater risk of the baby having asthma when one of the parents is asthmatic, and if there are smokers in the house. The fur of animals only causes asthma if there is a genetic predisposition/allergies to the fur, by itself, the animals do not cause asthma.

The diagnosis of asthma in the baby can be made by the pulmonologist/pediatric allergist, but the pediatrician may suspect the disease when the child presents the signs and symptoms of asthma. Learn more at: Tests to diagnose asthma.

Treatment of baby asthma

Treatment of asthma in babies is similar to that of adults, and should be done with the use of medication and avoiding exposure to substances that can trigger an asthma attack. In babies and children under 3 years of age, the pediatrician or pediatric pulmonologist guides the nebulization with asthma medicines diluted in saline solution, and generally only after 5 years of age can they start using the " asthma".

The pediatrician may also recommend nebulization with corticosteroid medicines, such as Prelone or Pediapred, once a day, to prevent the onset of asthma attacks and having the flu vaccine every year, before the beginning of winter.

If in an asthma attack the medicine seems to have no effect, you should call an ambulance or take the baby as soon as possible to the hospital. See what First Aid is for asthma attacks.

In addition to using the medicine, the pediatrician should advise parents to take some care at home, especially in the baby's room, to prevent dust from accumulating. Some useful measures are to remove rugs, curtains and carpets from the house and always clean the house with a damp cloth to always remove all dust.

What should a baby's room look like with asthma

Parents should pay special attention when preparing the baby's room, as this is where the baby spends most of the day. So, the main cares in the bedroom include:

  • Use hypo-allergenic covers on mattress and bed pillows;
  • Exchange blankets for duvets or avoid using fur blankets;
  • Change the bedding every week and wash it in water at 130ÂșC;
  • Putting rubberized flooring washable, as shown in image 2, in the places where the child plays;
  • Clean the room with a vacuum cleaner and a damp cloth at least 2-3 times a week;
  • Clean the fan blades 1 time a week, avoiding the accumulation of dust on top of the device;
  • Remove rugs, curtains and carpets from the child's room;
  • Avoid entry of animals, such as a cat or dog, into the baby's room.

In the case of a baby who has symptoms of asthma due to changes in temperature, it is also important to wear clothes appropriate for the season to avoid sudden changes in temperature.

Also, plush dolls should be avoided as they accumulate a lot of dust. However, if there are toys with fur, it is advisable to keep them closed in a closet and wash them at least once a month.

This care should be maintained throughout the house to ensure that allergic substances such as dust or fur are not transported to the place where the baby is.

What to do when your baby has an asthma attack

What to do in a baby's asthma crisis is to nebulize with bronchodilator drugs, such as Salbutamol or Albuterol, prescribed by the pediatrician. For this you must:

  1. Put the number of drops of the medicine indicated by the pediatrician in the nebulizer cup;
  2. Add 5 to 10 ml of saline solution to the nebulizer cup;
  3. Position the mask correctly on the baby's face or put it together in the nose and mouth;
  4. Turn on the nebulizer for 10 minutes or until the medicine disappears from the cup.

Nebulizations can be given several times during the day, according to the doctor's recommendation, until the baby's symptoms subside.

When to go to the doctor

Parents should take their baby to the emergency room when:

  • Asthma symptoms do not decrease after nebulization;
  • More nebulizations are needed to control symptoms than recommended by the doctor;
  • The baby has purplish fingers or lips;
  • The baby is having trouble breathing, becoming very irritable.

In addition to these situations, parents should take their baby with asthma to all routine pediatric appointments to assess their development.

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