Asthma — acute bronchospasm
- Rapid inhaled bronchodilator
- SABA; add ipratropium if severe
- Systemic steroid for significant exacerbation
- Oxygen + repeated severity assessment
- IV magnesium for selected severe attacks
- Poor response/exhaustion → urgent escalation
- Optimize controller before discharge
Use at a glance
- Rapid inhaled bronchodilator
- SABA; add ipratropium if severe
Practical pearls
- Optimize controller before discharge
Other practical pearls
- Oxygen + repeated severity assessment
Choosing treatment
- Systemic steroid for significant exacerbation
- IV magnesium for selected severe attacks
Escalation / refractory disease
- Poor response/exhaustion → urgent escalation
Self-check
- What asthma therapy is optimized before discharge?
Controller before discharge. - What follows poor response/exhaustion in acute asthma?
Urgent escalation.
Drugs used for this (6)
All clinical uses · Open Asthma — acute bronchospasm in the interactive console ↗