Asthma & COPD

Asthma managment

• Highflow oxygen: Maintain SpO2 > 94%
• Oral prednisolone 40–50 mg or IV hydrocortisone 200 mg stat, followed by 100 mg IV q6h.
• Oxygen + Duolin nebulizer (salbutamol 5 mg mixed with ipratropium 0.5 mg × 3 doses every 15 min).
• Give ipratropium nebulizer alone if patient has significant tachycardia (heart rate >140 beats/min).
• Reasss fail give 3 more duolin nebulisation

REfractory astham

fails on Nebtherapy

• single dose of IV magnesium sulfate 2g infusion in 100 mL normal saline over 20 minutes
• epinephrine 0.3–0.5 mg subcutaneously,
• Noninvasive Assistaned ventilation to prevent muscle fatique
• intubate the patient in severeasthma

COPD