acute asthma Flashcards
1
Q
moderate
A
PF <50%
2
Q
severe
A
PF <50% sats < 92% unable complete sentences resp distress RR > 40 1-5yrs RR > 30 >5yrs HR > 140 1-5yrs HR > 125 >5yrs
3
Q
life threatening
A
PF < 33% exhaustion hypotension silent chest cyanosis alt consciousness confusion
4
Q
staples of management
A
oxygen
broncholidators
steroids
antib if bacterial
5
Q
Mx mild cases
A
can be managed as outpatient with regular salbulamol inhaler via spacer
e.g. 4-6puffs every 4hrs
6
Q
Mx mod-severe: stepwise approach
A
- salbutamol inhaler via spacer, 10puff/2hrs
- nebulised salbutamol/ipratropium bromide
- oral prednisolone
- IV hydrocortisone
- IV magnesium sulphate
- IV salbutamol
- IV aminophyline
7
Q
when to consider discharge
A
child well on 6puffs every 4hrs of salbutamol
8
Q
normal PaCO2 during asthma attack
A
life threatening - indicative of poor resp effort
