Sitting

Keep the airway open, if no perceivable air

movement support ventilation, intubate if necessary
(see also drugs step no. 3 & 4)

Oxygen 2-3 L/min with 40-50 psi If hypoxemia

present (humid and minimal pressure)

IV line Dextrose 5% 200 ml/hr (50

drops/mnt)

1. BRONCHODILATOR, option:
A. Ventolin nebule 0,2-0,3 ml in 3 ml NaCl via nebulizer (repeat every 15 mnt)
B. Bricasma inj ½ - 1 amp SC/IM/IV (repeat SC ½ amp every 2-4 hr)
C. Ventolin inhaler 2 puff
D. Aminophylline inj. 1 amp in 20 ml Dextrose 40% IV slowly within 15 mnt or 5-6 mg/kg IV
in 100 ml diluent within 30 mnt
2. GLUCOCORTICOID, option:
A. Methylprednisolon (solu-medrol) 1 amp IV (then 20 mg/4-6 hr)
B. Dexamethasone (Oradexon) 1 amp IV
3. Adrenaline 1 : 10.000 - 1ml to 5 ml IV slowly, for severe asthma or no perceivable air
movement
4. Meylon inj 0,5 – 1 meq/kg BW IV slowly, for severe asthma or no perceivable air movement

Monitor E.C.G., especially if the patient has been administered large amounts of bronchodilator