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Asthma (treatment (acute episode (B2 agonist bronchodilators (high dose,…

- - - - maintain Sp02 94-98%
    - - high dose
      - nebulised vs IV
    - - nebulised
      - add to B agonist Rx if severe or poor response to B agonist
    - - severe asthma who has not a good initial response to inhaled bronchodilator therapy
      - 1.2-2g IV over 20 minutes
  - - - LABA
        
        if no response to LABA - stop
        
        if benefit, but still inadequate, Increase ICS dose
        
        if benefit but still inadequate, consider trial of LTRA, SR theophylline, LAMA
        
        increase ICS to high dose, addition of fourth therapy (LTRA, SR theophylline, B agonist tablet, LAMA)
        
        daily steroid tablet in lowest dose providing control
- - - - worse at night or early in morning
- - - - start Rx
        
        assess response
    - - test for airway obstruction with spirometry
      - bronchodilator reversibility