National Asthma Educator Certification Board (NAECB) Practice Exam 2025 - Free Asthma Educator Certification Practice Questions and Study Guide

When discussing inhaled corticosteroids with parents of a two-year-old child, it's important to address the potential side effect of reduced growth velocity. While inhaled corticosteroids are used to effectively manage asthma and reduce inflammation in the airways, one of the concerns, particularly in pediatric patients, is their impact on growth.

Research has shown that corticosteroids, even when administered via inhalation, can have an effect on growth patterns in children, particularly if used for prolonged periods or at high doses. This is primarily due to the systemic absorption of the medication, which can influence various hormonal and metabolic pathways involved in growth. While the reduction in height velocity is often seen as a short-term effect and most children eventually catch up in growth, it is crucial for parents to be informed about this aspect for monitoring and discussing with their healthcare provider.

Recognizing this potential side effect enables parents to weigh the benefits of asthma control against the risk of any impact on growth and encourages ongoing conversations about dosage, the necessity of the medication, and any other management strategies that may support their child’s health and development.