Management of Mild or Moderate Asthma Exacerbations in Primary Care - Flowchart
Management of Mild or Moderate Asthma Exacerbations in Primary Care - Flowchart Asthma Asthma
«Flowchart»

Patient with worsening asthma symptoms
Persistent mild or moderate exacerbation per Asthma Action Plan

Patient with worsening asthma symptoms
Persistent mild or moderate exacerbation per Asthma Action Plan

Patient with worsening asthma symptoms
Persistent mild or moderate exacerbation per Asthma Action Plan


Transfer to emergency care
Interval management:


Treat with SABA, ipratropium, oxygen, and systemic corticosteroid

Transfer to emergency care
Interval management:


Treat with SABA, ipratropium, oxygen, and systemic corticosteroid

Transfer to emergency care
Interval management:

Transfer to emergency care


Treat with SABA, ipratropium, oxygen, and systemic corticosteroid


Treat with SABA, ipratropium, oxygen, and systemic corticosteroid

End

End

End

PCP/Office setup
Asses for:


Severity of exacerbation
Risks for asthma-related death (eg, prior intubation, poor adherence, frequent health care presentations)

PCP/Office setup
Asses for:


Severity of exacerbation
Risks for asthma-related death (eg, prior intubation, poor adherence, frequent health care presentations)

PCP/Office setup
Asses for:



Severity of exacerbation
Risks for asthma-related death (eg, prior intubation, poor adherence, frequent health care presentations)


Severity of exacerbation
Risks for asthma-related death (eg, prior intubation, poor adherence, frequent health care presentations)

Mild/Moderate


Mild distress on exam
No hypoxia
PEF >50% predicted

Mild/Moderate


Mild distress on exam
No hypoxia
PEF >50% predicted


Mild distress on exam
No hypoxia
PEF >50% predicted Mild/Moderate

Severe


Increased respiratory distress
Hypoxia
PEF 50% predicted

Severe


Increased respiratory distress
Hypoxia
PEF 50% predicted


Increased respiratory distress
Hypoxia
PEF 50% predicted Severe

Respiratory Failure

Respiratory Failure

Respiratory Failure

Treat with:


SABA 4–10 puffs MDI with spacer, may repeat up to 3 times in first hour
Prednisolone
Oxygen with goal SpO2 93–95%

Treat with:


SABA 4–10 puffs MDI with spacer, may repeat up to 3 times in first hour
Prednisolone
Oxygen with goal SpO2 93–95%

Treat with:


SABA 4–10 puffs MDI with spacer, may repeat up to 3 times in first hour
Prednisolone
Oxygen with goal SpO2 93–95%


SABA 4–10 puffs MDI with spacer, may repeat up to 3 times in first hour
Prednisolone
Oxygen with goal SpO2 93–95% 2

If improved:


Discharge with plan for prednisolone course
Short-term follow-up

If improved:


Discharge with plan for prednisolone course
Short-term follow-up


Discharge with plan for prednisolone course
Short-term follow-up If improved

Presistent or worsening

Presistent or worsening

Presistent or worsening