Asthma – Adult

Asthma is common and potentially fatal.

  • Severity – Severe or Life threatening – think RESUS
  • 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.
  • PEFR – must be >75% expected prior to discharge
  • Discharge advice sheet – can print off from this guide, remember to check inhaler technique and consider a spacer

 

Potential Discharges – BTS

  • In all patients who received nebulised β2 agonists prior to presentation, consider an extended observation period prior to discharge
  • If PEF<50% on presentation, give prednisolone 40–50 mg/day for 5 days
  • In all patients ensure treatment supply of inhaled steroid and β2 agonist and check inhaler technique
  • Arrange GP follow up within 2 working days postdischarge
  • Refer to asthma liaison nurse/chest clinic

PDF:asthma adult(inc. advice sheet)

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