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