management of acute asthma Flashcards
1
Q
what type of steroids do you give in an acute attack?
A
oral steroids(not inhaled steroids)
2
Q
ddx of acute severe asthma? in adults
A
acute ineffective exacerbation of COPD pulmonary oedema URT obstruction pulmonary embolus anaphylaxis
3
Q
when is it a severe attack?
A
unable to do complete sentences
RR ≥ 25
HR≥ 110
PEF 33-50%
4
Q
life threatening attack?
A
PEF 33% at best silent chest, cyanosis, feeble resp effort arrhythmia or hypotension exhaustion, confusion or coma ABG- PaCO2 >4.6KPa PaO2<8kPa, or SaO2 <92%
5
Q
midl asthma treatment?
A
SABA via spacer
SABA via spacer + pred
6
Q
moderate asthma?
A
SABA via neb + pred
SABA + ipra via neb + pred
7
Q
sever asthma treatment?
A
IV salbutamol IV aminophylline IV magnesium (neb) IV hydrocortisone Intubate and ventilate
give oxygen!
8
Q
zero to finals
A
Salbutamol inhalers via a spacer device: starting with 10 puffs every 2 hours
Nebulisers with salbutamol / ipratropium bromide
Oral prednisone (e.g. 1mg per kg of body weight once a day for 3 days)
IV hydrocortisone
IV magnesium sulphate
IV salbutamol
IV aminophylline
