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8 Cards in this Set
- Front
- Back
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Mild episodic asthma |
Inhaled short acting beta 2 agonist on each episode |
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Seasonal asthma |
Start regular low dose steroids(200-400mic.g) or chromoglycate 3-4 weeks before anticipated climate change and continue 3-4 weeks after season is over. Episode treated by beta 2 agonist. |
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Mild chronic or persistant asthma with ovvational exacerbation |
Regular low dose inhaled steroid or inhaled chromoglycate or oral theophylline. Episodes by short acting beta 2 agonist |
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Moderate asthma with frequent exacerbations |
Increased dose of inhaled steroid( upto 800mic.g per day) + long acting beta 2 agonist.
Attempt to withdraw the latter. Instead of latter, leukotriene antagonist, or sustained release theophylline is used ( esp. Nocturnal asthma) |
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Severe asthma |
Regular high dose of steroids( 800 -2000 mic g per day) + long acting beta 2 agonist twice daily.
Additionally, leukotriene antagonists, sustained release theophylline, oral beta 2 agonist, inhaled ipratropium bromide.
Rescue with short acting inhaled beta 2 agonist.
Last option- oral steroids |
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Status asthmaticus or refractory asthma |
Hydrocortisone hemisuccinate Salbutamol+ipratropium (nebulised) High flow humidified oxygen inhalation Salbutamol or terbutaline( s.c) Intubation or mechanical ventilators Chest infections with intensuve antibiotic trt Correct dehydration and acidosis with saline +nahco3/ lactate infusion |
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Inhaled steroids |
Beclomethazone dipropionate Budesonide Fluticasone Ciclesonide |
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Beclomathasone dipropionate |
Intranasal spray eff. In perennial rhinitis |
