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Management of acute asthma

Management of acute asthma. Lessons learnt from studies of asthma deaths. Many deaths from asthma are preventable – 88-92% of attacks requiring hospitalisation develop over  6 hours Factors include: inadequate objective monitoring failure to refer earlier for specialist advice

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Management of acute asthma

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  1. Management ofacute asthma

  2. Lessons learnt fromstudies of asthma deaths • Many deaths from asthma are preventable – 88-92% of attacks requiring • hospitalisation develop over 6 hours • Factors include: • inadequate objective monitoring • failure to refer earlier for specialist advice • inadequate treatment with steroids

  3. Levels of severity ofacute asthma exacerbations

  4. Initial assessment – the role of symptoms, signs and measurements

  5. Management of acute severe asthma in adults in A&E: assessment of PEF

  6. Management of acute severe asthmain adults in A&E: PEF 33-75% predicted

  7. Management of acute severe asthmain adults in A&E: PEF 33-75% predicted

  8. Management of acute severe asthmain adults in A&E: PEF 33-75% predicted

  9. Management of acute severe asthma in adults in A&E: PEF <33% predicted

  10. Management of acute severeasthma in adults in hospital Caution: Patients with severe attacks may not be distressed and may not have all these abnormalities. The presence of any should alert the doctor.

  11. Management of acute severeasthma in adults in hospital Caution: Patients with life threatening attacks may not be distressed and may not have all these abnormalities. The presence of any should alert the doctor.

  12. Management of acute severeasthma in adults in hospital

  13. Management of acute severeasthma in adults in hospital

  14. Management of acute severeasthma in adults in hospital

  15. Management of acute severeasthma in adults in hospital

  16. Management of acute severeasthma in adults in hospital

  17. Oxygen treatment foracute asthma in adults

  18. ß2-agonist bronchodilatorsfor acute asthma in adults

  19. Steroids and other therapyfor acute asthma in adults

  20. Monitoring of adults withacute asthma

  21. Hospital discharge andfollow up after acute asthma • GP review within 48 hours • Monitor symptoms and PEF • Check inhaler technique • Written asthma action plan • Modify treatment according to guidelines for chronic persistent asthma • Address factors that could have contributed to admission

  22. Overview: Managementof acute asthma • Assess and act promptly in acute asthma • Admit patients with any feature of a life threatening or near fatal attack, or severe attack persisting after initial treatment • Measure oxygen saturation • Use steroid tablets • Primary care follow up required promptly after acute asthma Management of acute asthma. Thorax 2003; 58 (Suppl I): i1-i92

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