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Acute sevre asthma
therapeutics (IV) Exam 3
10
Other
Not Applicable
10/28/2012
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Cards

Term

Mild

  • PEF
  • Clinical course
 Definition
  • ≥70%
  • Home care, SABA
Term

Moderate

  • PEF
  • Clinical course
 Definition
  • 40-69%
  • Office or ED, SABA
Term

Severe

  • PEF
  • Clinical course
 Definition
  • <40%
  • ED/Hospitalization, SABA, oral steroids
Term

Life threatening

  • PEF
  • Clinical course
 Definition
  • <25%
  • ICU, IV steroids
Term

Home treatment

Good response

  • PEF score
  • Action
 Definition
  • ≥80%
  • SABA Q3-4h
Term

Home treatment

Incomplete response

  • PEF score
  • Action
 Definition
  • 50-80%
  • SABA Q3-4h+ SCS (call MD)
Term

Home treatment

Poor response

  • PEF score
  • Action
 Definition
  • <50%
  • SCS + SABA + ED
Term

Hospital treatment

Mild/moderate

  • PEF score
  • Action
 Definition
  • ≥40%
  1. Bring SaO2 >90%
  2. SABA (3x dose in first hour)
  3. If unresolved: + SCS
Term

Hospital treatment

Severe

  • PEF score
  • Action
 Definition
  • <40%
  1. Bring SaO2 >90%
  2. SABA (high dose) + Ipratropium + holding chamber
  3. SCS
Term

Hospital treatment

Respiratory arrest

  • Action
 Definition
  1. 100% O2 intubation
  2. SABA + Ipratropium
  3. IV CS
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