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  • Table - PMC

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    Mawar Adelia Amanda
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    This document outlines 4 levels of severity for acute asthma exacerbations: moderate, acute severe, life-threatening, and near fatal. Moderate exacerbations involve increasing symptoms with FEV1 >50%, while acute severe includes any of several criteria like FEV1 30-50% or respiratory rate ≥25/min. Life-threatening asthma adds additional criteria if severe, such as FEV1 <30% or low oxygen. Near fatal is marked by very high carbon dioxide or need for mechanical ventilation.

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    This document outlines 4 levels of severity for acute asthma exacerbations: moderate, acute severe, life-threatening, and near fatal. Moderate exacerbations involve increasing symptoms with FEV1 >50%, while acute severe includes any of several criteria like FEV1 30-50% or respiratory rate ≥25/min. Life-threatening asthma adds additional criteria if severe, such as FEV1 <30% or low oxygen. Near fatal is marked by very high carbon dioxide or need for mechanical ventilation.

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    0 views1 page

    Table - PMC

    Uploaded by

    Mawar Adelia Amanda
    This document outlines 4 levels of severity for acute asthma exacerbations: moderate, acute severe, life-threatening, and near fatal. Moderate exacerbations involve increasing symptoms with FEV1 >50%, while acute severe includes any of several criteria like FEV1 30-50% or respiratory rate ≥25/min. Life-threatening asthma adds additional criteria if severe, such as FEV1 <30% or low oxygen. Near fatal is marked by very high carbon dioxide or need for mechanical ventilation.

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    Table 4 Levels of severity of acute asthma exacerbations

    Moderate asthma Increasing symptoms


    exacerbation FEV1 >50% best or predicted
    No features of acute severe asthma
    Acute severe asthma Any one of:
    FEV1 30–50% best or predicted
    Respiratory rate ⩾25/min
    Heart rate ⩾110/min
    Inability to complete sentences in one breath
    Life‐threatening asthma Any one of the following in a patient with severe asthma:
    FEV1 <30% best or predicted
    SpO2 <92%
    PaO2 <8 kPa (60 mm Hg)
    PaCO2 ⩾6 kPa (45 mm Hg)
    Silent chest
    Cyanosis
    Feeble respiratory effort, exhaustion
    Confusion or coma
    Hypotension or bradycardia
    Near fatal asthma Raised PaCO2 and/or requiring mechanical ventilation with raised inflation
    pressures

    FEV1, forced expiratory volume in 1 s; PaO2, PaCO2, arterial oxygen and carbon dioxide tension; SpO2, oxygen saturation.

    Modified from table 4 in the British Guideline on the Management of Asthma.3

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