Asthma Treatment & Management Flashcards
Mild/Moderate Asthma Indicators
o >symptoms
o PEF 50-75%
o No features of acute
Mild/Moderate Asthma Treatment
o Move to calm/quiet environment
o Encourage correct use of own inhaler using spacer (2 puffs every 2 mins, up to 10 puffs)
o If unresponsive –
o Administer salbutamol (nebulised with O2 6-8l/min) or high flow O2
o If responsive to treatment, consider alternative care pathway (GP referral)
o If unresponsive = convey to hospital
Severe-Acute Asthma Indicators
o PEF 33-50% expected/normal
o RR>22
o HR >110
o Inability to complete sentence in one breath
Severe-Acute Asthma Treatment
o Administer SLB (nebulised with 6-8L/min O2) or high flow O2 – can give continuously unless clinically significant side effects occur
o If ineffective admin Ipratropium bromide (nebulised with 6-8L/min O2)
o Consider hyrodocortisone (100mg slow IV over 2 mins) if call to hospital time >30 mins
Life Threatening Asthma Indicators
o PEF 6kPa
Life Threatening Asthma Treatment
o Start to correct A&B using below techniques and time critical transfer to A&E and continue management en-route
o Provide pre-alert
o Administer salbutamol (nebulised with O2 6-8l/min) or high flow O2
o Administer 1:1000 Adrenaline (500mcg IM every 5 mins) in anterolateral aspect of thigh or upper arm)
o Administer hyrodocortisone (100mg slow IV over 2 mins) if call to hospital time >30 mins
Near Fatal Asthma Indicators
Requiring BVM ventilation with raised inflation pressures
Near Fatal Asthma Treatment
o Start to correct A&B using below techniques and time critical transfer to A&E and continue management en-route
o Provide pre-alert
o Positive pressure ventilation using a nebulising t-piece (assess for bilateral tension pneumorthorax)
o Administer salbutamol (nebulised with O2 6-8l/min via BVM t-piece)
o Administer 1:1000 Adrenaline (500mcg IM every 5 mins) in anterolateral aspect of thigh or upper arm)
o Administer hyrodocortisone (100mg slow IV over 2 mins) if call to hospital time >30 mins
