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Management of acute asthma - PowerPoint PPT Presentation


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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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Presentation Transcript
slide2

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
slide10

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.

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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.

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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
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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