Bronchial Obstruction in Children

If the child of the first 3 years of life has: 
• - more than 3 episodes of BOS on the background of ARVI, 
• - atopic diseases in the family, 
• - the presence of allergic diseases,
it is necessary to observe the patient as a patient with bronchial asthma, 
including allergic additional survey and the decision on the administration 
of basic therapy. 

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BOS TREATME
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T AT ARVI I
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 I
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FA
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TS
Aimed at eliminating the cause of disease 
 BOS Treatment with ARVI in young children includes: 
• improvement of drainage function of bronchi 
• bronchodilator and anti-inflammatory therapy 
Improving drainage function of bronchi is
: 
1) active oral rehydration, 
2) the use of expectorants and mucolytic drugs, 
3) massage 
4) postural drainage, 
5) breathing exercises. 
• As a drink, alkaline mineral water is used, an additional daily fluid 
volume is about 50 ml / kg of body weight of the child. 

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Mucolytic and expectorant therapy
The goal of this therapy is the liquefaction of sputum, reducing its adhesiveness and 
increase the effectiveness of cough. 
• If a child has unproductive cough with viscous sputum it is advisable to prescribe 
Mucosolvan (Ambrobene, Ambroxol) 
• The drug has a pronounced mucolytic and mucokinetic effect, mild anti-inflammatory 
action, it increases the synthesis of surfactant, does not increase bronchial obstruction, 
practically does not cause allergic reactions. 
• Doses: 7.5 - 15 mg 2-3 times a day as a solution or by inhalation. 
• For children with obsessive unproductive cough, sputum lack it is advisable to 
prescribe expectorant drugs: 
- alkaline drink, 
- phytopreparations
(plantain syrup, coltsfoot broth, Gedeliks, Prospan, Bronchipret 
(ivy leaves extracts). 
Phytopreparations are prescribed with caution for children with allergies. 
A combination of expectorants and mucolytics is possible. 
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