Protocol clinic standardizat pentru medicii de familie
Astmul bronsic la copil
et ee on eee es
pee eerie onl en renee re ar enone Ti
eee eee eer
Codul bof (CIN 10}: 445.146
J45.0 Astmil eu predominant alergic8
“48.1 Astmul nealerge
Clasificarea asimului brongic JAB Stare do mal astmatic
caw EF REVENS] | cise doasim [2
Tipul AB Crize de astm Access | Variabiltate a lepicosdesptéoing
Per
ZT aa pe Sinn] ZF or pets] Ee — | Emre atiag_[Tsogie razon
ntrmitane | PEF noma sername nko oe Access nocturne Przent 3 sau mal mute
eo = pz eplsoaTeSSparing| cite penn atm
_ ‘anlt paral n
we | > 1 cape saptamina, dar=7 > Zorpewna] EBS —] |tetamentutl de
Perit “anus S| er isoadelssptamig ore
: Ciclo 9 feta scoala ssciamina
erssteat Tie ST aataps | me Isaaoay Ca
Imoderst™ | crzsteatecoara acivstea | siptanina | ‘S30% Funtia pulmonar oa pres sau do
Persistent Poreanent Frecvene | 80% (PEF sou VEMS) esi ma oun rezutat al
lever Acta as tats pacts respect)
ese Pt exacebarsla
Exacerbiile | exaceroareisits
ina
TRS ASG NET TTA TROT Be
Profiaxia astmulul bronsic Screening-ul
PPerisares
fenton cs
rong termi
Sernbuad aleroee expureninoundsaior i aergeni in acaren gt |¥yrarea num
intmomant ust “ fos eaerose far pr
Post Uni! ap matin paid sarc cuter po
‘ove irecunosct matt pas spect mama umatoes) fermelor severe
ste renurjumamel | Evtares tama civ Evtrea contacted] caro nuns
{a fumat in timpul Ameliorarea outrijei materne in curs sa er fic inca
srawaiait duns |S Nastroela si ~ a a
rastore Prevencessensbiziaerice (atopie)-colmal important |Pe=biale
rol deere AB hptioada preg postalala
v
eee ed
‘Examen fie:
a ‘pisoade racvente de wheezing (maimul de 1 episod pe ieee
mera tei, Saree
SS a a re Sorento
‘inegzing Insite do 3a
recent un actor major deri (antecedent faite de
pay
ino factor de Hse minor eosin, wheezing rs
use, int ales).
murmur valoula cinast
‘ais stent stants polfoee, cseminat, predominant in ex
‘venta ge pot aun fe dtara (anoezingh
‘alt ronfante ral subcreptana (I hiprseerea broic
Investigate paractinice obigator:
omoieveograms = eorinaf=e in unele cazu
Examonul spt!
“connate (In proporte de 10-90%), esta ocoedice de
Inia refer ta
‘pacienti cu AB prmar depistat Layton - suena
pale Curschmann (aglomerdr de mucus)
PEE motra (permite aprecierea monitvizarea sever revrsibil
bronsicn)
“rma de cael al PEF
PEE mini oi date
EF prezs cg
oma de calcu a variabltahi_crcaslane a PEF i:
_2(PEvesperl— PEF EtNAD y ayo
(PEFeesporal + PEFmatina)
Testlcu bronhodltator(wstl cu Bp-agois) —valore spregratice
fecuate la 15 minute dupa inhalaresunel doze de agonist cud
aclune ses compaate cu o' obj inant de innelre; rotarea
212% sau PEF 220% ara orovrsbltas a obsruha oto sug
Electocerdograme
Examenui radiolog 9 cute traces In 2 nedente
paciopi cu afcutat de dagnoste
Pacing eu AB nocontolat
PEF
Vanabitata oreadland
Ineteienja trap! bronhotes
Durata ae ma mare do
Impositatea acordi
Prazantaenerlr de ise sportAgena
geval
aga ona
‘malate
wsamacle
Dose miide st | Sarge Csi» | Doxa mint
ci Doremicdecs | jPesemnans’ | Gragorstca | pout de
ef aerate | geatunes de | “CS per os
nie ae scum
BAR Aoctewctienets | Oe Tae cal “ ore
pa Done mit de
eft at
reagent aire srt oo spun
‘prowopom bromide 2948-12
mp Sabutomol re 00 op Vente? mm
eying 0.35 5S)
ore mide cst
cc
orga ca durant de cine
Soibuaml 10020 yu Fentera 109209)
Tose sa dee Bo
Cat ds thet aur ates
Steseavete: Moteluas m2 a Sei 612 an 20m 32 a
Teofng retard col» 13h ial LOMB
seo ltr ual
Dose siden 2497]
noni ihr cur ok
Semetera!25 ug 2 pu 20/2 ores
repre combate aro Sometro taro 25/50 lon? pf? orp
ot de aternstd gen madeament conta
‘eclametazondcropionat 200400 un > 00g aa
ote mel se enfin retro» anne re
Dover d Cl rteuetene: Momus raf oN 5 rel 612 ni 10 rl 2a
aon into cu drat sc ane
Scisaame! 1020 404 Fentera 10020345
sore medi mae Cat ago iar cu urate acting
‘resrate comainte:puibereoalt ndishs Solmetera Faison 0/10 meer orp
ele repeat neata dessin Tein retard sau onteueiene
‘cites meses din Weaptaa CS peroral in dove mid seca (6a ae eT
‘Prednlons sre 2 m/l ere) ie asi GO mg/24 re] ule
“anscoanhig roplmenarimbuntest ono atm eB
= or
eT
SR eee ene es
> Supraveghere cu reevaluarea nivel de control al AB
lv peste 2.4 spin!
a llvata -peste 13 uni
Urmitoarele vatte-lecare un
> schimbare trepa' etre majrare sau micsorare) conform recomandarior
debt exprato devil ponkoxpraery tow)
8 —ueocsicrteozi S20, raj es sige singe: eri perc
681 icocaceosertinnalaion——VENS.——_~volumul exper mason in pmasecund
ge muneiobanaE