😮💨 Asthma Acute Exacerbation Management
UseUse to triage and treat: mild-moderate in outpatient/community, severe in the ED with ipratropium and possibl…
SourceGlobal Initiative for Asthma. Global Strategy for Asthma Management and Prevention, 2024 (exacerbat…
This-shift next steps
After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.
Paste the link in Slack, Teams, X, or LinkedIn — the preview image comes from this page’s Open Graph card.
Methodology · worked example, guidelines & full notes
IV theophylline/aminophylline is avoided for poor efficacy and high risk, and response is reassessed 1 hour after treatment. (original synthesis · not guideline verbatim)
When to use
Use to triage and treat: mild-moderate in outpatient/community, severe in the ED with ipratropium and possible IV magnesium, and life-threatening in ED/ICU with ventilation readiness.
How it works
Core: repeated SABA + early systemic steroid + controlled oxygen (SpO₂). Severe adds ipratropium ± IV magnesium sulfate; life-threatening prepares for mechanical ventilation.
Key points
- IV theophylline/aminophylline is avoided for poor efficacy and high risk, and response is reassessed 1 hour after treatment. (original synthesis · not guideline verbatim)
- Systemic glucocorticoid is given early in severe exacerbations and a oral course in milder ones.
- Controller drugs are adjusted and follow-up arranged before discharge.
References
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| Exacerbation severity | Severe |
|---|
→Severity & dispositionSevere: emergency management
- Triage：Severe: emergency management
- Bronchodilator：SABA + ipratropium (SAMA) nebulized, continuous nebulization if needed
- Systemic steroid：Systemic glucocorticoid early: oral prednisone or IV methylprednisolone
| Exacerbation severity | Mild-moderate |
|---|
→Severity & dispositionMild-moderate: manageable in outpatient/community
- Triage：Mild-moderate: manageable in outpatient/community
- Bronchodilator：Repeated inhaled SABA (salbutamol, every 20 min for 1 h)
- Systemic steroid：Increase ICS or start oral prednisone per current guidelines
Verification & sources · governance
FAQ
Frequently asked questions
- What are the limits and cautions when using Asthma Acute Exacerbation Management?
- For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.
- Does Asthma Acute Exacerbation Management upload patient data? Where is it calculated?
- Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
- How is Asthma Acute Exacerbation Management calculated in practice? Can you show a worked example?
- Inputs: Exacerbation severity Severe → Result: Severity & disposition Severe: emergency management（Triage: Severe: emergency management, Bronchodilator: SABA + ipratropium (SAMA) nebulized, continuous nebulization if needed, Systemic steroid: Systemic glucocorticoid early: oral prednisone or IV methylprednisolone） Inputs: Exacerbation severity Mild-moderate → Result: Severity & disposition Mild-moderate: manageable in outpatient/community（Triage: Mild-moderate: manageable in outpatient/community, Bronchodilator: Repeated inhaled SABA (salbutamol, every 20 min for 1 h), Systemic steroid: Increase ICS or start oral prednisone per current guidelines）