Asthma Categories Flashcards
What is moderate asthma?
PEFR 50-75% best or predicted
Speech normal
RR < 25 / min
Pulse < 110 bpm
What is severe asthma?
PEFR 33 - 50% best or predicted
Can’t complete sentences
RR > 25/min
Pulse > 110 bpm
What is life threatening asthma?
PEFR < 33% best or predicted
Oxygen sats < 92%
Silent chest, cyanosis or feeble respiratory effort
Bradycardia, dysrhythmia or hypotension
Exhaustion, confusion or coma
What does normal pCO2 indicate?
Exhaustion and life threatening asthma
What is the admission criteria for asthma in hospital?
previous near-fatal asthma attack
pregnancy
an attack occurring despite already using oral corticosteroid and presentation at night
What oxygen sat should be maintained in asthma?
94-98%
What medication is reccomended in life threatening asthma?
Nebulised SABA
Ipatropium bromide
IV magnesium sulphate
Management of acute asthma?
OHSHITME
O=oxygen
H= hydrocortisone
S= salbutamol nebulised
H=
I=ipatropium
T= theopylline
M= magnesium sulphate
E=s
What is the criteria for discharge?
been stable on their discharge medication (i.e. no nebulisers or oxygen) for 12-24 hours
inhaler technique checked and recorded
PEF >75% of best or predicted
