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Medication Treatment Options Using a Nebulizer Asthma Management Plan Avoiding Asthma Triggers
Avoiding Asthma Triggers
To control asthma in children, parents must help their children avoid the things that irritate the lungs and trigger attacks.
  • Tobacco smoke
  • While it is never a good idea to smoke indoors, it is even more important not to smoke if your child has asthma. Children with asthma who live in smoke-filled homes have more wheezing fits, need more medicine, and make more trips to the emergency room than other asthma patients their age.1
  • Allergies
  • Asthma and allergies often go together, and a child's allergies can set off an asthma attack. The dust mites that live in pillows, mattresses, stuffed animals, and carpets are common culprits.2
    It may help to wash bed linens and blankets once a week, encase pillows and mattresses in zippered airtight covers, and remove any stuffed animals and carpeting from the bedroom. Cockroach droppings are another allergy pest. Keeping all food in airtight containers and cleaning surfaces thoroughly can help reduce this problem.
  • Pets
  • Cats and other furred pets can make asthma worse. Cats and dogs should be kept out of the child's bedroom and should be bathed regularly. Remind your child to wash his or her hands after playing with a pet.2
  • Pollen and mold
  • You can reduce pollen allergies by keeping the windows closed during pollen season or on days when the pollution index is very high. You might also consider installing a special allergy filter in your air conditioner and air filters throughout your home. If your child is allergic to molds, clean damp areas frequently with disinfectant to prevent or kill mold and consider buying a dehumidifier to keep the air dry.2
    If it's impossible for your child to avoid dander, pollen, or other allergy triggers, talk to your child's doctor or an allergist about immunotherapy. This treatment involves several injections that eventually may help your child become less allergic.3
  • Stress
  • Anxiety and stress can make an asthma attack worse, and as with any other health conditions, proper rest, nutrition, and well-being can help in managing the disease.4
  • Exercise
  • It's generally wise to avoid asthma triggers, but there's one big exception to the rule: even though exercise can trigger asthma attacks, DO NOT encourage your child to quit exercising. Your child may need to take a break on days when his or her asthma is particularly troublesome, or use a bronchodilator before a workout. Children with asthma can usually play as hard as the other children.
    AccuNeb® (albuterol sulfate) Inhalation Solution is indicated for the relief of bronchospasm in patients 2 to 12 years of age with asthma (reversible obstructive airway disease).
    Important Safety Information
    In a clinical trial with AccuNeb® Inhalation Solution 0.63 mg, AccuNeb® Inhalation Solution 1.25 mg, and placebo, the most commonly reported adverse events were asthma exacerbations (11.1%, 13%, 8.5%), otitis media (0.9%, 4.3%, 0%), allergic reaction (3.4%, 0.9%, 1.7%), gastroenteritis (3.4%, 0.9%, 0.9%), and flu syndrome (2.6%, 2.6%, 1.7%).
    Like other beta-adrenergic agonists, AccuNeb® Inhalation Solution can produce paradoxical bronchospasm, which may be life-threatening. AccuNeb® Inhalation Solution should be used with caution in patients with cardiovascular disorders and patients being treated with epinephrine, oral sympathomimetics, beta-blockers, MAOIs, or tricyclic antidepressants.
    Please see Patient Prescribing Information.
    References
    1. Evans D, Levison MJ, Feldman CH, et al. The impact of passive smoking on emergency room visits of urban children with asthma. Am Rev Respir Dis. 1987;135(3):567-572.
    2. Centers for Disease Control and Prevention. You can control your asthma. http://www.cdc.gov/asthma/faqs.htm. Accessed May 11, 2007.
    3.Mayo Clinic Web site. Allergy shots: hope for long-term allergy relief. http://www.mayoclinic.com/health/allergy-shots/AA00017. Accessed May 14, 2007.
    4.American Academy of Allergy, Asthma & Immunology. Tips to remember: asthma triggers and management. http://www.aaaai.org/patients/publicedmat/tips/asthmatriggersandmgmt.stm. Accessed May 11, 2007.
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