• Start a brand new topic
    New Topic
    • Start a brand new topic
  • Search all forums
    • Search all forums
  • Forum help and frequently asked questions
    • Forum help and frequently asked questions
7 year old /spirometry

47 Posts

Posted:  08-Feb-2018 15:21
7 year old not had asthma formally disgnosed. Booked in for spirometry/ reversibility. Do you think a 7 year old can perform spirometry? And would you reverse with 2 or 4 inhalation of ventolin?? Are peak flow diaries a thing of the past? Thank you in advance.

1063 Posts

Posted:  08-Feb-2018 16:34 Log in to like this post
I am very new to asthma but from what I can understand it is a case of gathering as much information as possible to gain a diagnosis. A spirometry in isolation does not prove asthma. You can have a normal spirometry and yet still have asthma. I would base diagnosis on careful history of sx , fh,other allergies, pef diary and yes possibly spirometry ,if they can do and then all information together makes puzzle fit and asthma diagnosis .

525 Posts

Posted:  08-Feb-2018 18:21 Log in to like this post
I find this a difficult one- spirometry as mentioned can be normal and you can still have Asthma- I like to use a peak flow diary and look at diurnal variation- guidelines now say Feno testing/spiro/peak flow- anyone doing feno testing?

699 Posts

Posted:  09-Feb-2018 15:06
It depends on the 7 year old.  I've done it successfully with an 8 year old but I've also found adults who can't do it!  I also tend to use a PF diary for this age groups.  And as Angel says, history is everything


12 Posts

Posted:  14-Feb-2018 12:22
I have done a quality assured spirometry on a 5 year old using incentive picture, which worked very well. But I agree with colleagues that history taking is paramount from sensible parents. I also had father who was saying that child's asthma is fully controlled, but after spirometry (good effort and BTS standards met)revealed obstruction, started admitting that yes , child is avoiding active sport activities so chest does not go tight. Sometimes they need a wake up call with spirometry and Feno.
I my experience and after doing training, Salbutamol 4 puffs is fine for all ages, unless contraindicated for other reasons

please see my comment as an opinion, not an instruction

44 Posts

Posted:  20-Feb-2018 22:48
Does the spirometer need to be calibrated for children ?

I've been told that unable to do on anyone below 16yrs as machine is set for adults and not children.

However, agree that PEFR /symptom diary and good history better to diagnose asthma in children

Please log in to post on the forum. It is free to register.
Some links are only clickable if you are logged in
Featured Jobs
Practice nurse
Lane End Medical Group
We are a large teaching training practice looking to recruit an enthusiastic and motivated Practice Nurse to join our existing nursing team to work 20....
This job offer was posted by laneend2 17 July 2018
Practice Nurse For GP Surgery
Grand Union Health Centre
Grand Union Health Center are looking to recruit a Practice Nurse or Nurse Practitioner to work within our clinical team of 3 Practice Nurses, 2 HCAs,....
This job offer was posted by Grandunionhealthcentre 12 July 2018
Practice Nurse - Corporate Site
Practice Nurse - City Location in large Corporate Investment Bank4 days per week (Mon - Thurs) - 32 hours per week £45k plus excellent benefitsA great....
This job offer was posted by nurses.co.uk 18 July 2018
Fantastic Nurse Opportunity within General Practice
A fantastic opportunity has become available for a specialist respiratory nurse to join a reputable GP surgery in Windsor. The role will be to work ac....
This job offer was posted by nurses.co.uk 11 July 2018
Practice Nurse job, Potters Bar/Barnet
A small, friendly, family-orientated GP Surgery near Barnet/Potters Bar is seeking a Full Time Practice Nurse (or 2x Part-time).This surgery. renowned....
This job offer was posted by nurses.co.uk 11 July 2018
Add Event
Public Personal