malaysia protocol acute exacerbation of bronchial asthma

7/24/2019 malaysia protocol Acute Exacerbation of Bronchial Asthma

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Acute Exacerbation Of

Bronchial Asthma

RAJ


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AEBA is potential life threatening event-treatment should be started as soon as it isrecognized and a quic assesment is made

!aborator" studied should be dela"ed until afterinitial theraph" has been completed

Exarcebation are characterized b" decreases inexprator" airflo#$

%E&' or pea flo# are indicator of the severit" ofairflo# limitation than the degree of s"mptom-increase in s"mptoms preceds the deteriorationin pea flo# rate


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(rimar" therraph"

Repetitive administration of rapid acting

inhaled bronchodilator

s"stemic glucorticorsteroid

ox"ge

aim of treatment-relieve airflo# obstructionand h"poxaemia A) quicl" as possible

and prevent future relapses


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Assesment

*istor"

+linical Examination

(ea %lo# ,easurement (E%R. AB/

+0R-if a pneumothora pneumonia or lung

collapse suspected


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Ris %actor for asthma related

death 1 *2O near fatal asthma requiring intubation and

mechanical ventilation

*2O hospitalization or emergenc" visit #ithin a "ear

currentl" using or have recentl" stopped using oralglucocorticosteroid

cureentl" using inhaled glucocorticosteroid

over dependent on rapid-acting inhaled B3-agonist

*2O ps"chiatric disease *2O noncompliance #ith an asthma medication plan


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,anagement


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,ild attac-(E%R 4567no

features of life threatening. 8nhaled bronchodilator or nebulise #ith B3-agonist-avoid long acting inhaler in the

absence of inhaled steroid

observe 96 minute

allo# discharge if stable and (E%R remin 4567

home care #ith oral prednisolone and adequate suppl" of medication at least

'666ug2da" of inhaled beclomethasone or budesonide or fluticosone. Ensure 1 '. correct inhaler technique

3. good compliance and approriate follo# up

:. quic asses to health care facilities

;. advice


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malaysia protocol acute exacerbation of bronchial asthma

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