Management of Acute Asthma - Flowchart
Management of Acute Asthma - Flowchart Management of Acute Asthma Management of Acute Asthma
Flowchart

Immediate
For all patients


Start oxygen therapy to maintain SpO2 94–98%
Salbutamol 5 mg nebulised every 15–30 min
Steroids (40–45 mg prednisolone PO or 100 mg of IV hydrocortisone)

Immediate
For all patients


Start oxygen therapy to maintain SpO2 94–98%
Salbutamol 5 mg nebulised every 15–30 min
Steroids (40–45 mg prednisolone PO or 100 mg of IV hydrocortisone)

Immediate
For all patients

Immediate
For all patients


Start oxygen therapy to maintain SpO2 94–98%
Salbutamol 5 mg nebulised every 15–30 min
Steroids (40–45 mg prednisolone PO or 100 mg of IV hydrocortisone)


Start oxygen therapy to maintain SpO2 94–98% 2
Salbutamol 5 mg nebulised every 15–30 min
Steroids (40–45 mg prednisolone PO or 100 mg of IV hydrocortisone)

End

End

End

Review after initial treatment

In those with poor response to initial treatment or acute severe or life-threatening asthma


Ipratropium bromide 500 µmg nebulised
Magnesium sulphate 1.2–2 g IV over 20 min
Aminophylline IV (5 mg/kg loading dose over 20 min) followed by 0.5 mg/kg/hr

Review after initial treatment

In those with poor response to initial treatment or acute severe or life-threatening asthma


Ipratropium bromide 500 µmg nebulised
Magnesium sulphate 1.2–2 g IV over 20 min
Aminophylline IV (5 mg/kg loading dose over 20 min) followed by 0.5 mg/kg/hr

Review after initial treatment

Review after initial treatment

In those with poor response to initial treatment or acute severe or life-threatening asthma


Ipratropium bromide 500 µmg nebulised
Magnesium sulphate 1.2–2 g IV over 20 min
Aminophylline IV (5 mg/kg loading dose over 20 min) followed by 0.5 mg/kg/hr


Ipratropium bromide 500 µmg nebulised
Magnesium sulphate 1.2–2 g IV over 20 min
Aminophylline IV (5 mg/kg loading dose over 20 min) followed by 0.5 mg/kg/hr

Further review

If the patient is not improving:


Contact ITU for early intervention

Further review

If the patient is not improving:


Contact ITU for early intervention

Further review

Further review

If the patient is not improving:


Contact ITU for early intervention


Contact ITU for early intervention