Based in Reno, Nevada, Renown Health continues to be the regional healthcare leader, serving a 17-county region comprised of northern Nevada, Lake Tahoe and northeast California. Renown is Reno’s only locally owned, not-for-profit health network offering more services than all other local healthcare networks combined.
Regional Medical Center
1155 Mill St

Children's Hospital
1155 Mill St

Rehabilitation Hospital
1495 Mill St

South Meadows Medical Center
10101 Double R Blvd

Skilled Nursing
1835 Oddie Blvd

Carson Valley Medical Center
1107 HWY 395
Center for Advanced Medicine B
1500 E 2nd St

Center for Advanced Medicine C
75 Pringle Way

Institute for Heart & Vascular Health
1155 Mill St

Institute for Cancer
1155 Mill St
Based in Reno, Nevada, Renown Health continues to be the regional healthcare leader, serving a 17-county region comprised of northern Nevada, Lake Tahoe and northeast California. Renown is Reno’s only locally owned, not-for-profit health network offering more services than all other local healthcare networks combined.
Regional Medical Center
1155 Mill St

Children's Hospital
1155 Mill St

Rehabilitation Hospital
1495 Mill St

South Meadows Medical Center
10101 Double R Blvd

Skilled Nursing
1835 Oddie Blvd

Carson Valley Medical Center
1107 HWY 395
Center for Advanced Medicine B
1500 E 2nd St

Center for Advanced Medicine C
75 Pringle Way

Institute for Heart & Vascular Health
1155 Mill St

Institute for Cancer
1155 Mill St
Based in Reno, Nevada, Renown Health continues to be the regional healthcare leader, serving a 17-county region comprised of northern Nevada, Lake Tahoe and northeast California. Renown is Reno’s only locally owned, not-for-profit health network offering more services than all other local healthcare networks combined.

Renown Regional Medical Center

1155 Mill St Reno, NV 89502
775-982-4100


Renown Regional Medical Center
1155 Mill St, Reno, NV 89502
Renown Health serves a 17-county region with a total population in excess of 750,000. Our facilities include two medical centers, a rehabilitation hospital, a skilled nursing facility, numerous medical group and urgent care facilities, and the region's most trusted health insurance provider, Hometown Health. 775-982-5000

Renown Children's Hospital

1155 Mill St Reno, NV 89502
775-982-KIDS (5437)

Renown Children's Hospital
1155 Mill St, Reno, NV 89502
Based in Reno, Nevada, Renown Health continues to be the regional healthcare leader, serving a 17-county region comprised of northern Nevada, Lake Tahoe and northeast California. Renown is Reno’s only locally owned, not-for-profit health network offering more services than all other local healthcare networks combined.

Renown Rehabilitation Hospital

1495 Mill St Reno, NV 89502
775-982-3500


Renown Rebabilitation Hospital - 1495 Mill St
1495 Mill St, Reno, NV 89502
Based in Reno, Nevada, Renown Health continues to be the regional healthcare leader, serving a 17-county region comprised of northern Nevada, Lake Tahoe and northeast California. Renown is Reno’s only locally owned, not-for-profit health network offering more services than all other local healthcare networks combined.

Renown South Meadows
Medical Center

10101 Double R Blvd Reno, NV 89521
775-982-7000


Renown South Meadows - 10101 Double R Blvd
10101 Double R Blvd, Reno, NV 89521
Based in Reno, Nevada, Renown Health continues to be the regional healthcare leader, serving a 17-county region comprised of northern Nevada, Lake Tahoe and northeast California. Renown is Reno’s only locally owned, not-for-profit health network offering more services than all other local healthcare networks combined.

Carson Valley Medical Center

1107 Hwy 395 Gardnerville, NV 89410
775-782-1550


Carson Valley Medical Center - 1107 Highway 395
1107 Highway 395, Gardnerville, NV 89410
Based in Reno, Nevada, Renown Health continues to be the regional healthcare leader, serving a 17-county region comprised of northern Nevada, Lake Tahoe and northeast California. Renown is Reno’s only locally owned, not-for-profit health network offering more services than all other local healthcare networks combined.

Renown Skilled Nursing

1835 Oddie Blvd Sparks, NV 89431
775-982-3232


Renown Skilled Nursing - 1835 Oddie Blvd
1835 Oddie Boulevard, Sparks, NV 89431
Based in Reno, Nevada, Renown Health continues to be the regional healthcare leader, serving a 17-county region comprised of northern Nevada, Lake Tahoe and northeast California. Renown is Reno’s only locally owned, not-for-profit health network offering more services than all other local healthcare networks combined.
Based in Reno, Nevada, Renown Health continues to be the regional healthcare leader, serving a 17-county region comprised of northern Nevada, Lake Tahoe and northeast California. Renown is Reno’s only locally owned, not-for-profit health network offering more services than all other local healthcare networks combined.

Renown Health Urgent Care

775-982-5000

Renown Health Urgent Care
9 convenient locations
Based in Reno, Nevada, Renown Health continues to be the regional healthcare leader, serving a 17-county region comprised of northern Nevada, Lake Tahoe and northeast California. Renown is Reno’s only locally owned, not-for-profit health network offering more services than all other local healthcare networks combined.
Based in Reno, Nevada, Renown Health continues to be the regional healthcare leader, serving a 17-county region comprised of northern Nevada, Lake Tahoe and northeast California. Renown is Reno’s only locally owned, not-for-profit health network offering more services than all other local healthcare networks combined.
Renown Lab Services offers convenient access to complete your lab work with 10 locations close to your home or work. For your convenience, many of the locations are located inside or next to Renown hospitals and medical groups. Extended and Saturday hours are available at some locations.
Based in Reno, Nevada, Renown Health continues to be the regional healthcare leader, serving a 17-county region comprised of northern Nevada, Lake Tahoe and northeast California. Renown is Reno’s only locally owned, not-for-profit health network offering more services than all other local healthcare networks combined.

Center for Advanced Medicine B at Renown Regional

1500 E 2nd St Reno, NV 89502
775-982-4100


Center for Advanced Medicine B - 1500 E. 2nd St
1500 E. 2nd St., Reno, NV 89502
Based in Reno, Nevada, Renown Health continues to be the regional healthcare leader, serving a 17-county region comprised of northern Nevada, Lake Tahoe and northeast California. Renown is Reno’s only locally owned, not-for-profit health network offering more services than all other local healthcare networks combined.

Center for Advanced Medicine C at Renown Regional

75 Pringle Way Reno, NV 89502
775-982-4100


Center for Advanced Medicine C - 75 Pringle Way
75 Pringle Way, Reno, NV 89502
Based in Reno, Nevada, Renown Health continues to be the regional healthcare leader, serving a 17-county region comprised of northern Nevada, Lake Tahoe and northeast California. Renown is Reno’s only locally owned, not-for-profit health network offering more services than all other local healthcare networks combined.

Renown Institute Heart & Vascular Health

1155 Mill St Reno, NV 89502
775-982-7888


Institute for Heart & Vascular Health - 1155 Mill St
1155 Mill St, Reno, NV 89502
Based in Reno, Nevada, Renown Health continues to be the regional healthcare leader, serving a 17-county region comprised of northern Nevada, Lake Tahoe and northeast California. Renown is Reno’s only locally owned, not-for-profit health network offering more services than all other local healthcare networks combined.

Renown Institute for Cancer

1155 Mill St Reno, NV 89502
775-982-5638


Renown Institute for Cancer - 1155 Mill St
1155 Mill St, Reno, NV 89502
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Asthma - children

Definition

Asthma is a disease that causes the airways to swell and get narrow.

Alternative Names

Pediatric asthma; Asthma - pediatric

Causes, incidence, and risk factors

Asthma is caused by swelling in the airways. During an asthma attack, the muscles surrounding the airways tighten. The lining of the air passages swells. Less air is able to pass through as a result.

Asthma is often seen in children. It is a leading cause of missed school days and hospital visits for children. An allergic reaction is a key part of asthma in children. Asthma and allergies often occur together.

Some things that can bring on asthma symptoms (triggers) include:

  • Animals (hair or dander)
  • Dust, mold, and pollen 
  • Aspirin and other medicines
  • Cold air, such as changes in weather (most often cold weather)
  • Chemicals in the air or in food
  • Tobacco smoke 
  • Exercise
  • Strong emotions
  • Viral infections, such as the common cold

Symptoms

Breathing problems are common. They can include:

  • Shortness of breath
  • Feeling out of breath
  • Gasping for air
  • Trouble breathing out (exhaling)
  • Breathing faster than normal

When the child is having a hard time breathing, the skin of the chest and neck may suck inward.

Other symptoms of asthma in children include:

  • Coughing that sometimes wakes the child up at night (it may be the only symptom)
  • Dark bags under the eyes
  • Feeling tired
  • Irritability
  • Tightness in the chest
  • A whistling sound made when breathing (wheezing). You may notice it more when the child breathes out.

Your child's asthma symptoms may vary. Symptoms may appear often or else develop only when triggers are present. Some children are more likely to have asthma symptoms at night.

Signs and tests

The health care provider will to listen to the child's lungs. The health care provider may be able to hear asthma sounds. However, lung sounds are often normal when the child is not having an asthma episode.

The health care provider will have the child breathe into a device called a peak flow meter. Peak flow meters can tell how well the child can blow air out of the lungs. If the airways are narrow due to asthma, peak flow values drop.

You and your child will learn to measure peak flow at home.

Tests may include:

Treatment

You and your child's doctors should work together as a team to create and carry out an asthma action plan.

This plan will tell you how to:

  • Avoid asthma triggers
  • Monitor symptoms
  • Measure peak flow
  • Take medicines

The plan should also tell you when to call the nurse or doctor. It's important to know what questions to ask your child's doctor.

Children with asthma need a lot of support at school.

  • Give the school staff your asthma action plan so they know how to take care of your child's asthma.
  • Find out how to let your child take medicine during school hours. (You may need to sign a consent form.)
  • Having asthma does not mean your child cannot exercise. Coaches, gym teachers, and your child should know what to do if your child has asthma symptoms caused by exercise.

ASTHMA MEDICINES

There are two basic kinds of medicine used to treat asthma.

Long-term control drugs are taken every day to prevent asthma symptoms. Your child should take these medicines even if no symptoms are present. Some children may need more than one long-term control medicine.

Types of long-term control medicines include:

  • Inhaled steroids (these are usually the first choice of treatment)
  • Long-acting bronchodilators (these are almost always used with inhaled steroids)
  • Leukotriene inhibitors
  • Cromolyn sodium

Quick relief or rescue asthma drugs work fast to control asthma symptoms.

  • Children take them when they are coughing, wheezing, having trouble breathing, or having an asthma attack.
  • Examples of quick relief medicines include Proventil, Ventolin, and Xopenex.

Some of your child's asthma medicines can be taken using an inhaler.

  • Children who use an inhaler should use a "spacer" device. This helps them to get the medicine into the lungs properly.
  • If your child uses the inhaler wrong way, less medicine gets into the lungs. Have your health care provider show your child how to correctly use an inhaler.
  • Younger children can use a nebulizer instead of an inhaler to take their medicine. A nebulizer turns asthma medicine into a mist.

GETTING RID OF TRIGGERS

It is important to know what things make your child's asthma worse. These are called asthma "triggers." Avoiding them is the first step toward helping your child feeling better.

Keep pets outdoors, or at least away from the child's bedroom.

No one should smoke in a house or around a child with asthma.

  • Getting rid of tobacco smoke in the home is the single most important thing a family can do to help a child with asthma.
  • Smoking outside the house is not enough. Family members and visitors who smoke carry the smoke inside on their clothes and hair. This can trigger asthma symptoms.
  • Do not use indoor fireplaces.

Keep the house clean. Keep food in containers and out of bedrooms. This helps reduce the possibility of cockroaches, which can trigger asthma attacks. Cleaning products in the home should be unscented.

MONITOR YOUR CHILD'S ASTHMA

Checking "peak flow" is one of the best ways to control asthma. It can help you keep your child's asthma from getting worse. Asthma attacks do NOT usually come on without warning.

Children under age 5 may not be able to use a peak flow meter well enough for it be helpful. However, a child should start using the peak flow meter at a young age to get used to it. An adult should always watch for a child's asthma symptoms.

Expectations (prognosis)

With proper treatment, most children with asthma can live a normal life. When asthma is not well controlled, it can lead to missed school, problems playing sports, missed work for parents, and many visits to the doctor's office and emergency room.

Asthma symptoms often lessen or go away completely as the child gets older. Asthma that is not well controlled can lead to lasting lung problems.

Rarely, asthma can be a life-threatening disease. Families need to work closely with their health care professionals to develop a plan to care for a child with asthma.

Calling your health care provider

Call your health care provider if you think your child has new symptoms of asthma. If your child has been diagnosed with asthma, call the doctor:

  • After an emergency room visit
  • When peak flow numbers have been getting lower
  • When symptoms are more frequent and more severe even though your child is following the asthma action plan

If your child is having trouble breathing or having an asthma attack, get medical help right away.

Emergency symptoms include:

  • Difficulty breathing
  • Bluish color to the lips and face
  • Severe anxiety due to shortness of breath
  • Rapid pulse
  • Sweating
  • Decreased level of alertness, such as severe drowsiness or confusion

A child who is having a severe asthma attack may need to stay in the hospital and get oxygen and medicines through a vein (intravenous line or IV).

References

National Asthma Education and Prevention Program Expert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma. Rockville, Md. National Heart, Lung, and Blood Institute, US Dept of Health and Human Services; 2007. NIH publications 08-4051.

Castro-Rodriguez JA, Rodrigo GJ. Efficacy of inhaled corticosteroids in infants and preschoolers with recurrent wheezing and asthma: a systematic review with meta-analysis. Pediatrics. 2009 Mar;123(3):e519-25.

Bush A, Saglani S. Management of severe asthma in children. Lancet. 2010 Sep 4;376(9743):814-25.

Brozek JL, Bousquet J, Baena-Cagnani CE, Bonini S, Canonica GW, Casale TB, et al. Allergic Rhinitis and its Impact on Asthma (ARIA) guidelines: 2010 revision. J Allergy Clin Immunol. 2010 Sep;126(3):466-76.

McMahon AW, Levenson MS, McEvoy BW, Mosholder AD, Murphy D. Age and risks of FDA-approved long-acting beta-adrenergic receptor agonists. Pediatrics. 2011;128(5):e1147-1154.

Liu AH, Covar RA, Spahn JD, Leung DYM. Childhood asthma. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 19th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 138.


Review Date: 5/10/2013
Reviewed By: Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, Bethanne Black, Stephanie Slon, and Nissi Wang.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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