Medium-to-High-Dose Inhaled Corticosteroids
Medium-to-high-dose inhaled cortico- steroids can have more significant side effects, which can include:
* Bone loss or osteoporosis. * Cataracts.
* Adrenal suppression (a decrease in natural steroids the body makes). An asthma specialist should follow chil-
dren who are taking medium-to-high-dose inhaled corticosteroids closely due to the risk of these side effects.
Helping Children Live Full, Active Lives The benefits of inhaled corticosteroids outweigh the risks when prescribed ap- propriately in children. As stated by O’Bryne et al. in Chest
(2013), children with poorly controlled asthma:
* Have more asthma attacks. * Are less physically fit and less active. * Are more likely to be overweight.
* Are more likely to have learning dis- abilities and academic concerns.
* Have more stress, which can lead to depression and anxiety.
Using inhaled corticosteroids for asthma has helped children achieve bet- ter asthma control, resulting in a higher quality of life. Though there may be risks, the benefits of using inhaled corticosteroids include: fewer school absences, better sleep, improved learning in school, con- fidence in being active in daily life and overall less strain on the family.
Kathleen Kelly Shanovich, APNP, is a PNP for the University of Wisconsin School of Medicine and Public Health, Pediatric Allergy. She is a member of NAPNAP and the American Academy of Allergy, Asthma & Immunology and co-directs the Madison Asthma Camp. Kate Swenson, APNP, is a PNP for the
University of Wisconsin Medical Founda- tion, Pediatric Pulmonology. Her special interest is the use of technology to im- prove adherence to asthma medications. She participates as a group leader for Madison Asthma Camp.
Make sure your child is rinsing after using an inhaled corticosteroid
Ready, Set, Grow
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