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Penaflor, Dominic
6
Quinto, Milraam
Ramos,Josefa Victoria
Sicat, Gracie
Suaco, David
Tio- Cuizon, Jeremiah
CLASSIFICATION OF ASTHMA
BY LEVEL OF CONTROL
Based on the Global Strategy for Asthma
Management and Prevention (2006)
• degree of symptoms
• airflow limitation
• lung function variability
• Education
1: Develop Patient/Family/Doctor
Partnership
2: Identify and Reduce Exposure to Risk
Factors
reliever medication :
further deterioration
Asthma attacks require prompt
treatment:NASA
• Nebulization
Salbutamol (Ventolin) neb/inhaler q 3-6 hours
• Antibiotics
• Steroids
Acute Attac: Hydrocortisone 250mg IV stat then 100 mg IV q 4-6
hours x 4 doses or continuous if the condition warrants
More stable: start on oral steroids as soon as patient can safely
swallow and taper in 10- 14 days
• Aminophylline-add on med
Acute attac: not controlled by the above meds, aminophylline
bolus at 5-6 mg/g BW then drip
More Stable: shift to long acting Theophylline
Monitor Response to Treatment
• Evaluate symptoms and, as much as
possible, peak flow.
• also assess oxygen saturation; consider
arterial blood gas measurement in
• patients with suspected hypoventilation,
exhaustion, severe distress, or peak flow
30-50 percent predicted.
Follow up