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Zyrtec-d (Cetirizine-Pseudoephedrine)

Zyrtec-d (Cetirizine-Pseudoephedrine)

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ASTHMA IN CHILDREN: QUESTIONS ABOUT PRECAUTIONS WHILE CHOOSING A CAREER AND MORE
What precautions should be taken when choosing a career?
For the majority of asthmatic children there should be little restriction when planning a future career. There are, however, three important precautions to consider. First, if specific allergies are known to exist, an occupation exposing the asthmatic to these allergens is obviously to be avoided. Those sensitive to pollen shouldn’t become landscape gardeners and there is little point in working in a zoo if attacks are brought on by animals. Second, if asthma is induced by exercise it may be wise to avoid occupations that are particularly strenuous. This is not imperative, however, as it should be possible to control any asthma triggered by exertion. Third, any job where there is smoke, air pollution, irritating fumes or dust should be avoided if possible. This includes such trades as baking and carpentry and working in public houses with their inevitable smoky atmospheres. I have not in any way meant this list to sound restrictive as I am a firm believer that everyone should follow the career they will enjoy the most, and this applies just as much to asthmatics as to anyone else.
Is it safe to wear woolen clothing?
Few special rules need to be made about clothing, unless there is also eczema when irritating fabrics, especially wool, will need to be avoided. Dust fragments trapped in fluffy clothing can irritate the asthmatic child’s airways and chemical detergents used in washing may trigger allergies. The particular allergy which arises from biological washing powders, however, has not been shown to produce a sufficiently strong enough allergic reaction to cause a wheezing attack. Keeping reasonably warm in cold weather is sensible, but there is no evidence that concentrating the warmth about the chest by wearing a thick vest makes the slightest difference in asthma.
Apart from giving all the prescribed medication, what should I do when my child has an attack?
There is nothing more frightening to a child than being unable to breathe so the first rule is to appear calm yourself. Ensure that whatever inhalers you have been advised to give in an attack are administered correctly and at the right time. If the child is too distressed to synchronize the firing of the inhaler then do it for them. Watch the breathing in and out and press the inhaler just as the breath in starts and tell the child to hold their breath for a minute. There is a certain magic to children in inhaling medication and if you reinforce this with reassuring words then the effect will be doubled. Make sure the nebulizer is set up ready for the next treatment so there is no extra distress caused by searching for the bits to it.
Make the child comfortable, sitting upright either in a chair or on the edge of the bed. Encourage him or her to relax and breathe slowly. Remind him or her of breathing exercises they have been taught and make sure they are used. Something to occupy the child’s mind is useful; this might be television, a record, a story or a puzzle. All the time emphasis should be on an outward quiet confidence and an inward alertness.
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