Lightning Learning: Moderate Asthma

Lightning Learning: Moderate Asthma

“Not all asthmatics will need admission and appropriate management in the ED can enable safe discharge.”
— advice is based on local guidelines & procedures
 
 

What?

 

Moderate Asthma:

  1. Increasing symptoms

  2. PEF >50-75% best or predicted

  3. No features of acute severe asthma

Acute Severe:

  1. PEF 33-50% best or predicted

  2. RR ≥25/min

  3. HR ≥110/min

  4. Inability to complete sentences in one breath

 

Why?

Not all asthmatics will need admission and appropriate management in the ED can enable safe discharge.

Patients with PEF >75% best or predicted 60 mins after initial treatment may be discharged from ED, unless other reasons for admission (BTS/SIGN guideline).

Remember to “safety net” all patients discharged from the ED.

Further Reading

Simple Case, Complex Environment

Simple Case, Complex Environment

This May Well End Badly

This May Well End Badly