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McVea S, Bourke T. Optimising the management of wheeze in preschool children. Practitioner 2016;260(1794):11-14

Optimising the management of wheeze in preschool children

23 Jun 2016Pais-up subscribers

One third of all preschool children will have an episode of wheeze and many of these present to primary care. Most will fall within a spectrum of diagnosis ranging from episodic viral wheeze to multiple trigger wheeze or early onset asthma. The child should be referred to hospital immediately if you suspect an inhaled foreign body or anaphylaxis (after administering IM adrenaline). NICE recommends immediate referral for children with wheeze and high-risk features and also those with intermediate-risk features failing to respond to bronchodilator therapy.

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