QuestionSBA
QuestionChoice
Beclometasone dipropionate is a steroid inhaler that constitutes the maintenance therapy for patients whose asthma symptoms are not controlled by a beta-agonist reliever alone. It is important to remind patients that unlike beta-agonist inhaler, a beclometasone inhaler needs to be used every day even if they do not experience any symptoms
34116
b
He should not use his beclometasone inhaler if he does not experience any symptoms
QuestionChoice
Beclometasone dipropionate is a steroid inhaler that constitutes the maintenance therapy for patients whose asthma symptoms are not controlled by a beta-agonist reliever alone. Patients are advised to rinse their mouths after using the inhaler to prevent infection such as candidiasis
34115
a
He should rinse his mouth after using the beclometasone inhaler
QuestionChoice
Spacers slow down the drug as it comes out of the inhaler and more of the drug gets delivered to the lungs as a result
34117
c
He should avoid using a spacer if possible as spacer tends to trap some of the drug and reduce the total amount of drug being delivered to the lungs
QuestionChoice
If patients have forgotten to use their inhalers, they should use the inhalers as soon as they remember. However, if it is almost time for them to take the next dose, they should skip the missed dose and take the next dose as usual
34118
d
If he forgets to use it, he should take a double dose to compensate for the forgotten dose
QuestionChoice
It is imperative to highlight to the patients that with inhaled beclometasone, only very little of the drug gets into the rest of the body and that systemic side effects of steroids are only more likely to happen if the beclometasone is taken at high doses over a long period of time
34119
e
He is very likely to experience stunted growth as a result of his current dose of beclometasone
Concept
Chapter
#### Monitoring

The BNF advises to monitor lung function (in patients with a history of obstructive airway disease).

#### Overdoses

Overdosages with beta-blockers may cause cardiac effects such as bradycardia, hypotension, syncope, conduction abnormalities, and heart failure. Bradycardia is the most common arrhythmia, but some beta-blockers may induce ventricular tachyarrhythmias secondary to prolongation of QT interval (e.g. sotalol) or QRS duration (e.g. propranolol).
Non-cardiovascular effects include central nervous system effects (including drowsiness, confusion, convulsions, hallucinations, and in severe cases coma), respiratory depression, and bronchospasm.

Management
 - Airway protection 
 - Activated charcoal within 1 hour
 - IV Fluids
 
IV glucagon is the first-line management.
 
For symptomatic bradycardia, IV atropine may be used.

2618
2767
Steroid inhaler
Topic
91
Paediatrics
6834
Case presentation: A 8-year-old boy attends the paediatrics clinic accompanied by his mother.His mother reports that he has been experiencing night-time wheeze over the past month. He used his salbutamol metered-dose inhaler (MDI) three times last week to help him fall back to sleep.  

PMH: Eczema, asthma
DH: Salbutamol (Ventolin Accuhaler) INH 200 micrograms PRN, emollient (ImuDERM)
The patient is advised to commence maintenance therapy with Beclometasone Dipropionate 100 micrograms PO twice daily.

Question: Select the most important information that should be provided for this patient and his mother.
a