https://wikimd.com/index.php?action=history&feed=atom&title=CCS_ASTHMA 2026-04-09T06:26:19Z Revision history for this page on the wiki MediaWiki 1.44.2 https://wikimd.com/index.php?title=CCS_ASTHMA&diff=4966342&oldid=prev 2023-09-03T11:22:46Z

<p></p> <p><b>New page</b></p><div>* HPI 5yo child with acute asthmatic attack <br /> ==Note==<br /> * vital signs: BP, Pulse, Resp. Rate, Temp. <br /> * Step I : Emergent management: A, B, C, D- O2 , broncodilaters MDI or nebulizer, depending on severity consider systemic corticosteroids. <br /> * Step II : Physical Examination General appearance, HEET/Neck, Chest/Lung, Heart/CV <br /> ==Investigations==<br /> * Step III : Diagnostic Investigations: <br /> * 1. O2 sat.2<br /> * . PEF<br /> * 3. CBC<br /> * 4. Chem 7<br /> * 5. CXR<br /> * 6. ABG- should be considered in severe distress of when FEV1 &lt;30% of predicted values after initial treatment.<br /> ==Treatment==<br /> 1. O22. Beta 2 agonist with MDI or Nebulizer every 20 mins 3. [[methylprednisolone]] IV q6h for first 24-48 hours then inhaled steroids<br /> Step IV: Decision about changing patients location Discharge home if symptoms resolve quickly or FEV1 is greater than 70% of predicted or personal best.<br /> ==Recommendations for hospitalization==<br /> * 1. response to treatment is poor<br /> * 2. recent hospitalization for asthma<br /> * 3. failure of aggressive outpatient management<br /> * 4. previous life- threatening attack.<br /> * 5. If PEF or FEV1 is less than 50%<br /> * 6. arterial carbon dioxide tension is greater than 42<br /> * 7. If patient is confused of drowsy8. If no easy access to ER<br /> If patient is discharge need to return to office within 5-7 days for follow up.<br /> Step V: Educate patient and family:Instruct patient/family to avoid factors that aggravate patients disease.Instruct on proper use of MDI<br /> ==Diagnosis==<br /> STEP VI: Final Diagnosis.[[Acute asthma attack]]<br /> {{usmle}}</div>

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