Asthma - Management of Acute

Question 1

What is the management for exacerbations fo the following severity:

• mild
• moderate
• severe

Answer 1

• Mild
  
  • SABA via spacer
• Moderate
  
  • SABA via nebuliser
• Severe
  
  • IV salbutamol
  • IV aminophylline
  • IV magnesium
  • IV hydrocortisone
  • Intubate and ventilate

Question 2

What kind of steroids are used for:

• chronic treatment
• acute treatment

Answer 2

• For chronic treatment
  
  • Inhaled steroids not oral
• For acute treatment
  
  • Oral steroids not inhaled

Question 3

What is assessed to decide best treatment option?

Answer 3

• Respiratory Rate
• Work of breathing
• Heart rate
• Oxygen saturations
• Ability to complete sentences
• Confusion
• Air entry