CLINICAL MANAGEMENT GUIDELINE

Acute exacerbation of asthma

ICD10: Unspecified asthma with (acute) exacerbation [J45.901]

Treatment: Bronchospasm treatment-pediatric doses

It is triggered hyperreactive inflammatory response which results in bronchoconstriction and increased mucus production. The most triggers are viral infection (85%), bacterial infections, environmental allergens, emotion, exercise, NSAIDs and poor asthma control.


It is allergen-specific Th-2-mediated immunoglobulin E inflammatory response which leads to airway edema, mucus overproduction, and eventually blockage. 1

This goal is to relive the inflammatory response and resuscitate respiratory function.

Treatments

Level 1 / 4
pharmacological
Oxygen
ROUTE
nasal cannulae/non-rebreather mask
DOSE
100.000 %
FREQUENCY
STAT
pharmacological
Albuterol
ROUTE
Inhalation
DOSE
100.000 μg
FREQUENCY
q4 hrs PRN

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