Difference between revisions of "DYSPNOEA-ASTHMA SEVERITY"

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===== [[Summary Article|'''SUMMARY''']] =====
===== [[Summary Article|'''SUMMARY''']] =====
<i>SEVERE ATTACK</i>
<i>SEVERE ATTACK</i>
<br/>1. Unable to complete sentences 
<br/>1. Unable to complete sentences 
<br/>2. Respiratory rate > 25/min
<br/>2. Respiratory rate &gt; 25/min
<br/>3. Pulse rate > 110 beats/min
<br/>3. Pulse rate &gt; 110 beats/min
<br/>4. Peak expiratory flow 33–50% of predicted or best  
<br/>4. Peak expiratory flow 33–50% of predicted or best  
<br/>
<br/>
<br/><i>LIFE-THREATENING ATTACK</i>
<br/><i>LIFE-THREATENING ATTACK</i>
<br/>1. Peak expiratory flow < 33% of predicted or best  
<br/>1. Peak expiratory flow &lt; 33% of predicted or best  
<br/>2. Silent chest, cyanosis, feeble respiratory effort
<br/>2. Silent chest, cyanosis, feeble respiratory effort
<br/>3. Bradycardia or hypotension
<br/>3. Bradycardia or hypotension
<br/>4. Exhaustion, confusion, or coma 
<br/>4. Exhaustion, confusion, or coma 
<br/>5. ABG: P<sub>a</sub>CO<sub>2 </sub>> 32mmHg, P<sub>a</sub>O<sub>2</sub> < 60mmHg, pH < 7.35
<br/>5. ABG: P<sub>a</sub>CO<sub>2 </sub>&gt; 32mmHg, P<sub>a</sub>O<sub>2</sub> &lt; 60mmHg, pH &lt; 7.35





Latest revision as of 11:31, 1 January 2023

SUMMARY

SEVERE ATTACK
1. Unable to complete sentences
2. Respiratory rate > 25/min
3. Pulse rate > 110 beats/min
4. Peak expiratory flow 33–50% of predicted or best

LIFE-THREATENING ATTACK
1. Peak expiratory flow < 33% of predicted or best
2. Silent chest, cyanosis, feeble respiratory effort
3. Bradycardia or hypotension
4. Exhaustion, confusion, or coma
5. ABG: PaCO2 > 32mmHg, PaO2 < 60mmHg, pH < 7.35


Reference(s)

Longmore, Murray; Wilkinson, Ian; Baldwin, Andrew; Wallin, Elizabeth. Oxford Handbook of Clinical Medicine - Mini Edition (Oxford Medical Handbooks) (p. 820). OUP Oxford. Kindle Edition.