Chapter

Acute exacerbations

John F.W. Baker and Graeme P. Currie

in Asthma

Second edition

Published on behalf of Oxford University Press

Published in print August 2012 | ISBN: 9780199638918
Published online September 2012 | e-ISBN: 9780191740893 | DOI: http://dx.doi.org/10.1093/med/9780199638918.003.0006

Series: Oxford Respiratory Medicine Library

Acute exacerbations

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• A variety of behavioural and psychological are associated with an increased risk of dying from an episode of acute asthma • The main pharmacological adjuncts in the management of acute asthma consist of inhaled β2-agonists, oral corticosteroids and oxygen in hypoxic patients • Inhaled ipratropium, and intravenous magnesium sulphate (unlicensed indication) and aminophylline can be considered if a patient fails to adequately respond to initial treatment • A high (or rise in) pCO2 or low (or fall in) pH are ominous features; their presence should usually prompt discussion with intensive care.

Chapter.  3227 words.  Illustrated.

Subjects: Respiratory Medicine and Pulmonology

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