1
Q
What would indicate that asthmas less likely
A
Chronic sputum production
Dizziness (associated with SOB)
Chest pain
Noisy inspiration
2
Q
Triggers of asthma
A
Viral infection Cigarette smoke Pollution Cold Emotion Exercise Pets Pollen Allergens
3
Q
Differential diagnoses for chronic cough
A
GORD
allergic rhinitis
4
Q
Features of adult onset asthma
A
More common in women
Responds less well to inhaled corticosteroids
5
Q
Life threatening asthma signs
A
PEF >33% Spo2 <92% Po2 <8 Silent chest Cysnosis Poor respiratory effort Arrhythmia Exhaustion Altered consciousness Hypotension Normal pCo2
6
Q
Emergency treatment of life threatening asthma
A
back to back salbutamol nebuliser Ipratropium if required If hypoxic, give O2 Steroids IV magnesium sulphate Referral to intensive care if not improving
