Acute Bronchial Asthma

Bronchial asthma is a dangerous disease that can be encountered in all subjects, especially young children. Below is information about bronchial asthma and asthma attacks.
1. Symptoms
- Difficulty breathing out slowly, whistling, stork lasting for 30 minutes to a few hours, chest tightness, coughing little white, sticky, sticky. Usually appear at night near the morning, when the weather changes

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- Pet can cut or cut later using Theophyllin, Salbutamol.
- Chronic history of chronic recurrences, related to weather, allergens. No history or history of left heart failure and mitral stenosis
- Examining the lungs with many rales or snoring, echoing.




2. Handling
- If mild:
Give Salbutamol 4mg or Theophyllin 0.10g x1 - 3 capsules / day.
Can be sprayed in the throat of Ventolin (Salbutamol) or Bricanyl (Terbutalin) ... 1-2 times each time, 6 hours later can be sprayed again, no more than 3 times a day
- If heavy:
+ Aminophyllin: Intravenous injection very slowly for 20 minutes 1 tube of 0.



24g mixed in 20ml of 5% glucose solution. Can inject 2-3 times per day.
+ Corticoid: Prednisolon 5mg x 6 tablets, taken immediately after eating, the dose gradually decreases in the following days.
Or Depersolon 30mgx1 muscle syringe.
These drugs can cut down the attack quickly but be cautious because patients will get used to the drug, long-term use has many complex side effects. Use only in severe acute asthma, when other drugs do not stop the attack.
- Coordinated measures:
+ Breathing oxygen 2 - 4 liters / minute, if heavy for continuous oxygen breathing.
+ Using antibiotics when bacterial infection.



Do not use antibiotics that can cause allergies to make asthma worse like penicillin ...
Be careful when using Erythromycin because this drug increases the concentration of Theophyllin, Aminophyllin in the blood, if the concentration of these drugs is high, it can cause poisoning.
+ Cardiovascular support.
When signs of malignant asthma attack: Severe pain lasts> 24 hours, with severe respiratory failure, patients with difficulty breathing more, cyanotic, rapid pulse, use drugs to help relieve the attack ...



then they must be moved to hospital soon. institute. On the way to transport, give oxygen continuously.
3. Conditions for referral later
- The patient is temporarily stable; all shortness of breath, pulse clear, maximum blood pressure> 90mmHg can transfer patients to the back.
- If the patient is still severe, difficult transportation conditions, the backline must be invited to the hospital..

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