Acute asthma attack
An acute attack is potentially life-threatening because it may continue despite the use of your usual quick-relief medications (inhaled bronchodilators). Asthma that is unresponsive to treatment with an inhaler should prompt you to seek medical attention at the closest hospital emergency room or your asthma specialist office, depending on the circumstances and time of day. Asthma attacks do not stop on their own without treatment
How to treat it?
Case: a pateint comes with you in a developing asthma
light:
SABA MDI every 20 mins in the first hour
Moderate:
SABA MDI every 20 mins in the first hour
Corticoid PO
Severe:
oxytherapy to maintain SPO2 > 90%
SABA MDI every 20 mins in the first hour
SABA IV
corticoid IV
Extremely:
Oxygen 100%
Adrenaline
corticoid IV
take the pateint to ICU as soon as possible
But how to Diagnose it ?
Shortness of breath
Wheezing
Coughing
Chest tightness
The problem is that how to recognize it from other pulmonary disease with Shortness of breath, Wheezing, Coughing, Chest tightness .
COPD: the symtoms present a long time and developing . it is important in Clinical
and the others : ( dị vật đường thở, khó thở thanh quản, viêm phổi dạng hen :o ) can you help me? i hope we can make them clearly.
an indispensable treatment is to help the pateint controlling the asthma at home
Light:
ICS: inhale- corticosteroid 200-400
Moderate:
ICS: 400-800 combiné with
Theophyllin PO
or LABA PO
or anti Leukotrien
Severe:
ICS: 800-1600 comebines with
Theophyllin
or anti-:eukotrien
or LABA PO
Corticoid PO
Note:
SABA : Ventolin MDI and PO
Bricanyl MDI and PO
ICS: Budesonide
Seretide
problems:
- Indications of intubation?
- Immunology? Interleukin? complements?
- ABG?
- Indications of antibiotics?
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