Pharmapedia Pro
Respiratory Disorders

Asthma

Not yet clinically reviewed

This protocol was migrated from the earlier Pharmapedia and Ward Guide apps for educational use. Follow your hospital's own policies and consult seniors when in doubt.

Asthma

  • Asthma is a long-term inflammatory disease of the airways of the lungs

Signs and symptoms

  • Shortness of breath
  • Chest tightness or pain
  • Wheezing when exhaling, which is a common sign of asthma in children
  • Trouble sleeping caused by shortness of breath, coughing or wheezing
  • Coughing or wheezing attacks that are worsened by a respiratory virus, such as a cold or the flu

Asthma Triggers

  • Airborne allergens, such as pollen, dust mites, mold spores, pet dander or particles of cockroach waste
  • Respiratory infections, such as the common cold
  • Physical activity
  • Cold air
  • Air pollutants and irritants, such as smoke
  • Certain medications, including beta blockers, aspirin, and nonsteroidal anti-inflammatory drugs, such as ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve)
  • Strong emotions and stress
  • Sulfites and preservatives added to some types of foods and beverages, including shrimp, dried fruit, processed potatoes, beer and wine
  • Gastroesophageal reflux disease (GERD), a condition in which stomach acids back up into your throat

Management

  • Oxygen inhalation
  • Inj Furosemide (Lasix) 20mg IV stat
  • Salbutamol (Ventolin) Nebulization stat then TDS
  • Atem nebulizer stat, then TDS
  • Inj Hydrocortisone (Hyzonat) 250mg IV stat
  • Inf Moxifloxacin (Mofest) 400mg 1x OD
  • Tab MNTK 4mg 1x OD
  • Tab Loratidine (Softin) 10mg 1x OD