For managing an 8-year-old with severe asthma, what is typically the first line of treatment?

In the management of an 8-year-old with severe asthma, the first line of treatment is typically a short-acting beta agonist (SABA). SABAs, such as albuterol, work by providing quick relief from acute asthma symptoms by relaxing the smooth muscles of the airways, leading to bronchodilation. This rapid action is essential for addressing sudden episodes of asthma exacerbations, making SABAs the go-to choice for immediate symptom relief.

While inhaled corticosteroids are an important part of long-term asthma management and help reduce inflammation, they are not first-line treatments for acute exacerbations. Long-acting beta agonists, though useful for long-term control in combination with inhaled corticosteroids, are not appropriate as standalone therapy for immediate symptom relief. Oral leukotriene modifiers can also play a role in chronic asthma management but are not typically used for acute relief.

Thus, in acute situations involving severe asthma, the correct approach involves the use of a short-acting beta agonist to ensure prompt and effective bronchodilation.