acute asthma management

Question 1

moderate astha criteria ?

Answer 1

PEFR 50-75

normal speech

rr <25

pulse <110

Question 2

severe asthma ?

Answer 2

PEFR 33-50

cannot complete sentence

rr>25

pulse >110

Question 3

life threatening asthma?

Answer 3

ANY ONE OF THEM IS A LIFE THREATENING ATTCK :

PEFR<33A PERCENT

SILENT CHEST !

NORMAL PCO2 (however will be rising) , BUT FALL IN PH

BRADYCARDIA / DYSARRYTHMIA / HYPOTENSION / CONFUSION AND EXHAUSTION

Question 4

when is CXR recommended ?

Answer 4

not routinely recommended unless for
life threatening asthma , suspected pneumothorax and failure to respond to treatmnet

Question 5

what is recommended for life threatening asthma ?

Answer 5

plan of invasive mechanical ventilation -intubation

Question 6

what is recommended for severe asthma?

Answer 6

IV magnesium 1.2-2g over 20 mins
IV aminophyline
if failing to respond then ITU - for intubation and ventilation and ECMO

Question 7

what is the criteria for discharge in acute asthma setting ?

Answer 7

stable with NO NEBULISERS FOR THE PAST 12-24HRS

PEF >75 of best r predicted

IHALER TECHNIQUE CHECKED AND RECORDED