Table 4.

Step approach in wheezy chest.

Atopic background	Nonatopic background
First attack: step 2	First attack: step 1
Second attack: step 3	Second attack: step 2
Third attack: step 4	Third attack: step 3

Step 1: Ventolin PRN.

Step 2: Ventolin PRN and oral steroid.

Step 3: Ventolin PRN, oral steroid and a mild dose of inhaled steroid/singulair.

Step 4: Ventolin PRN, oral steroid, and a moderate dose of inhaled steroid/singulair.