Tag: ashma

Asthma – Adult

  • Severity – Severe or Life threatening – think RESUS
  • Treatment within 30 min – bronchodilators and steroids should bee given within 30min
  • 1hrs Observation after Neb – better after a neb don’t just send home they may deteriorate when it wears off.
  • PEFR – must be >75% expected prior to discharge (at least 1hr after treatment finished)
  • Discharge advice sheet – can print off from this guide, remember to check inhaler technique and consider a spacer

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Asthma – Paeds

Quick Ref Guide

Full What0-18 Guide

Asthma is common and potentially fatal.

  • Severity -Inital
    • Life Threatening:
      • Move to Resus
      • Senior Dr
      • Oxygen
      • Back-Back Neb – Salbutamol & Ipratroprium
      • Steroids
    • Severe:
      • Nebuliser – Salbutamol & Ipratroprium
      • Oxygen – to maintain SaO2 >94%
      • Review 15min
    • Mild-Mod:
      • Inhaler with Spacer
      • Review 15min

  • Treatment within 30 min – bronchodilators and steroids should bee given within 30min
  • 2hrs Observation after Neb – better after a neb don’t just send home they may deteriorate when it wears off.
  • Discharge advice sheet – print off from this guide, remember to check inhaler technique and consider a spacer

 

PDF:asthma pead