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Acute Severe Asthma R Narasimhan×, AR Marathi*** Senior Consultant Pulmonologist; **Associate Consultant, Department of Respiratory Medicine, Apollo Hospitals, Off Dreams Road, Chennai 600 006. India.100A

How to fill out acute severe asthma

How to manage acute severe asthma:

1. Begin by assessing the severity of the asthma attack. Look for symptoms such as severe shortness of breath, rapid breathing, chest tightness, and difficulty speaking.
2. Administer a quick-acting bronchodilator medication immediately to help open up the airways. This can be done through an inhaler or a nebulizer.
3. If the symptoms do not improve or worsen after using the bronchodilator, seek emergency medical assistance immediately. Acute severe asthma can be life-threatening and requires immediate medical attention.
4. While awaiting medical help, encourage the person to sit upright and lean slightly forward to aid in breathing. Stay calm and reassure them that help is on the way.
5. Provide support and stand ready to assist with any additional measures that may be required, such as the use of supplemental oxygen or assisting with the administration of additional medications.
6. Once medical help arrives, provide them with necessary information about the person's history of asthma and the steps you have taken to manage the acute attack. This can help the medical professionals make informed decisions about further treatment.

Who needs acute severe asthma?

1. Individuals who have a history of asthma and are experiencing a sudden and severe asthma attack.
2. People who have not responded well to the initial use of a quick-acting bronchodilator and continue to experience severe symptoms.
3. Those who are showing signs of respiratory distress, including rapid breathing, wheezing, and coughing, along with difficulty speaking or completing full sentences.
4. Patients who exhibit a decrease in peak expiratory flow rate (a measure of lung function) and have readings lower than their personal best or predicted values.
5. Individuals who have previously been hospitalized or required intensive care treatment for asthma exacerbations.
6. People with a history of intubation or respiratory failure due to asthma attacks.

It is important to remember that acute severe asthma is a medical emergency, and seeking immediate professional help is crucial. Prompt and appropriate management can help prevent further complications and potentially save lives.

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