Treatment of acute asthma, Study notes of Applied Biology

Download Treatment of acute asthma and more Study notes Applied Biology in PDF only on Docsity! Acute asthma Appropriate management: 1. Administration of oxygen 2. Beta-2 agonist (Salbutamol, Fenoterol, Terbutaline) 3. Corticosteroid A. Expected intervention  Provide oxygen  Initiate and maintain respiratory and cardiac monitoring  Administer inhaled beta-2 agonist  Administer corticosteroid B. Initial assessment  Speaks in words  Sits forward  Agitated  Accessory muscles used C. Further assessment  RR > 30/min  PR >120/min  SpO2 saturations < 90%  Peak expiratory flow < 50% predicted or best D. Initial management  Maintain spO2 >94%  Administer Beta-2 agonist (salbutamol 2.5-5mg) via oxygen driven nebulizer, repeat every 20 minutes for 1 hour  Administer Ipratropium bromide nebuliser 0.5 mg every 4-6 hours  Administer IV hydrocortisone 200 mg OR prednisolone 1mg/kg with max 50 mg IF NO IMPROVEMENT, REFER HOSPITAL