Asthma 3 - Acute attacks

Question 1

features of acute severe asthma
RR>?
HR>
PEF ?-?% of best (or predicted best)
Can't complete ? in one ?
may have ? ? (abnormally large decr in SBP during inspiration)
there will be widespread ? ? in a ? ? chest
? ? of respiration are often used

Answer 1

25
110
33-50
sentences
breath
pulsus paradoxus
exp wheeze
hyper inflated
accessory mm

Question 2

Features of life threatening asthma
PEF?
sp02%
? chest, cyanosis, or feeble resp effort
?cardic, ?tensive or dysrhythmia
? or confusion

Answer 2

<33%
<92
silent
brady
hypo
exhaustion

Question 3

if pt has ? features of life threatening, an ? is only immediate Ix needed

Answer 3

any

ABG

Question 4

certain gas features are markers of life threatening

• normal ? - should normally be low due to ?
• severe ? : <8
• a ? ph

raised paCO2 indicates ? ? asthma

Answer 4

paCO2
hyperventilation
hypoxia
low

near fatal

Question 5

Mx acute severe
O2 ?L via non-rebreather
? ?mg via O2 drien neb (or terbutaline 10mg)
? ? 0.5mg via an O2 driven neb
Oral ? ?mg or IV ? ?mg (both if very ill)
no ? of any kind
CXR only if suspect ?/consolidation, or if pt likely to require IPPV

Answer 5

15
salbutamol 5
ipra brom 
pred 50
hydrocort 100
sedatives
pneumothorax

Question 6

Mx if life threatening
d/w ? team
add IV ? ? ?g over ? minutes
give neb ? 5mg every ?-? mins
seniors may then consider use of IV ? or ????

Answer 6

ICU
mag sulph 2
20
salb
15-30
aminophylline 
IPPV

Question 7

if pt is stable and improving, continue ? dose daily for at least ? dats and the neb ?/? ? hourly until discharge

Chart ? before and after salb nebs, and at least ? times daily while in hospital

prior to discharge, check ? ?, agree on a written asthma action plan and ensure ? follow up within ? working days

Answer 7

pred
5
salb/ipra
4
PEF
4
inhaler technique
GP
2