Checklist for monitoring asthma in children 1–5 years

Assess or recheck:Sample questions for parent/carer (modify/select as relevant)
1. Exacerbation history

Has child had a flare-up [explain meaning] since last visit?

If yes, what triggered it? (e.g. cold symptoms, allergies, stopping preventer)

How was the flare-up treated?

Has child since last visit/ever needed to take oral corticosteroids? (How often and how much?)

Has child ever been hospitalised for asthma or a wheezing episode?

When was the child’s last flare-up (and last flare-up before that one)? How were these flare-ups treated?

How many times has child visited GP/hospital emergency room for asthma symptoms in the last [specify time period, e.g. year/month/2 weeks]?

2. Allergies

Does child have allergic rhinitis (hay fever)?

Is child using other medicines for respiratory symptoms (e.g. oral or intranasal antihistamines, intranasal corticosteroids)?

Is exposure to the known allergen avoidable?

Does the child have allergies (e.g. to foods or insect bites) or need an adrenaline injector (e.g. Epipen) for emergencies?

Does the child get skin rashes caused by allergies?

3. Inhaler technique

Can you show me how you use the inhaler?

When did you last wash the spacer? (How do you wash it?)