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    Acute Asthma Management

    Uploaded by

    Mutasım Battah

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Acute Asthma Management

    Uploaded by

    Mutasım Battah
    31 views1 page

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    © © All Rights Reserved

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    31 views1 page

    Acute Asthma Management

    Uploaded by

    Mutasım Battah

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Asthma - Management of acute

    exacerbation in adults
    Immediate treatment:

    Start O2 if saturations < 92%, aim sats 94–98%


    Short acting B2 agonists
    Salbutamol 5mg (or terbutaline 10 mg) nebulized with O2

    Hydrocortisone 100mg IV or prednisolone 40–50 mg PO

    If life-threatening features present:

    Give salbutamol nebulizers every 15 minutes, or 10 mg continuously

    Add in ipratropium 0.5mg to nebulizers

    Give single dose of magnesium sulfate (MgSO4) 1.2–2g IV over 20 minutes

    If improving within 15–30 minutes:

    Nebulized salbutamol every 4 hours

    Prednisolone 40–50 mg PO OD for 5–7 days

    Further reading:

    Oxford Handbook of Respiratory Medicine 3rd Edition page 125 - 152

    http://patient.info/doctor/bronchial-asthma

    https://www.brit-thoracic.org.uk/document-library/clinical-information/asthma/btssign-asthma-

    guideline-2016/

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