Key points
• A child’s pattern of asthma may help to predict whether
the child will “outgrow” the condition.
• Inhaled steroids are the controller medication of choice for
children.
• To be effective, inhaled steroids must be given regularly,
for at least a season at a time, not just during asthma
attacks.
• Leukotriene receptor antagonists may be useful for
asthma triggered by colds.
• Most children who are seen in the emergency department
can be given bronchodilator therapy with a metered-dose
inhaler and valved spacer.

Key points• A child’s pattern of asthma may help to predict whetherthe child will “outgrow” the condition.• Inhaled steroids are the controller medication of choice forchildren.• To be effective, inhaled steroids must be given regularly,for at least a season at a time, not just during asthmaattacks.• Leukotriene receptor antagonists may be useful forasthma triggered by colds.• Most children who are seen in the emergency departmentcan be given bronchodilator therapy with a metered-doseinhaler and valved spacer.

Achieving control of asthma in preschoolers

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