Case 1 - Initial examination of patient with acute asthma
Table 1: Summary of treatment of acute asthma in the home or clinic
|
Management of acute asthma at home or in doctor's rooms |
|
Oxygen |
|
8 L/min or more (when available) |
|
B-Agonist |
|
High dose salbutamol, nebulised or via metered-dose inhaler + spacer |
|
Repeat every 10-15 minutes or continuously |
|
Steroids |
|
Hydrocortisone 250mg IV or prednisolone 50mg. If not responding, subcutaneous terbutaline 0.5mg stat |
|
For cardio-respiratory arrest |
|
IV or IM adrenaline 0.5mg |
|
Transfer to hospital (or care at home under certain circumstances) |
