Clinical Asthma Evaluation Score for Children - Medical Algorithm

Are you evaluating a child with asthma?

Yes

Is the patient cyanotic on room air (FIO2 0.21)?

Yes

Is the patient cyanotic on 40% oxygen (FIO2=0.40)?

Yes

PaO2 on room air

mm Hg

PaO2 on 40% oxygen

mm Hg

PaCO2 on room air

mm Hg

Are the inspiratory breath sounds normal?

Yes

Are the inspiratory breath sounds unequal?

Yes

Are inspiratory breath sounds decreased or even absent?

Yes

Does the patient use the accessory muscles to breath?

Yes

Is the use of accessory muscles maximal?

Yes

Is expiratory wheezing present?

Yes

Is expiratory wheezing marked?

Yes

Does the child show normal cerebral function without agitation?

Yes

Is the child in coma?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Clinical asthma score of Downes and Raphaely

Which indicates

Clinical asthma score of Wood et al

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
- TENOR Risk Score for an Adult with Severe or Difficult-to-Treat Asthma
Clinical Diagnosis, Including Family History For Genetics
Other Testing
- Negative Feelings of Parent Towards Asthma Therapy for Child
Severity, Prognosis, Stage
Complications

Therapy

Selection
Prevention
- Factors Affecting Asthma Control in an Older Adult
- Levels of Asthma Control from the Global Initiative for Asthma (GINA)

Monitoring

Response To Therapy
- Pulmonary Index Score in Patients with Asthma
Adverse Effects
- Bronchospasm Associated with ACE Inhibitor
Disease Progression
- Acute Bronchial Asthma Index of Fischl et al to Predict Relapse and Need for Hospitalization
Complication Detection

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10

The Clinical Asthma Evaluation Score of Wood et al for Children and its Modifications (Downes and Raphaely, Hollman)

Purpose: To clinically assess children with status asthmaticus for the severity of their symptoms.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10