My son is 6 and in kindergarden. He has a history for environmental allergies and asthma. His asthma as been a non factor for about a year. However, over that last 4 weeks things have gotten much worse. About a month ago, he started having difficulty breathing following his gymnastic workouts. So I began making sure he had albutrol before his workout and that seemed to help.
Unfortunatly, several days ago he woke several times at night complaining he could not breath. The next morning we reported to his ped. and the doc said he was indeed tight and wheezy. We are treating the flare with decdron x5 days, doubling his simbicort for 2 weeks and treating active symptoms with albutrol prn every 3-4 hours. He is feeling fine except he isn't breathing well.
Problem #1 is the steriods make him a 40# manic monster, and I am concerned that in a school setting he may have an issue with behavior.
Problem #2 his attacks are really suttle until they are not and by the time he notices, he is in real trouble.
Problem #3 he has a prn order for albutrol for wheezing, but his main problem is more labored and shallow breathing not necessarly wheezing. I am concerned the nurse won't all me to schedule a treatment during the flare.
He is better today than he was on Friday but not well, and I would have expected more give the amout of drugs he is taking. Do I send him to school or do I need to keep him home until he is back to his baseline?? Again he is not sick or bothered by this at all, but it is clear there is an issue. What would you do. We see pulmonology on Tuesday.