Clinical Pharmacy first aid and emergency

asthmatic attack

Topic overview

Start with the big picture

Suspect acute asthma when sudden wheeze, dyspnea, and chest tightness persist despite the usual reliever inhaler. Severity assessment considers peak expiratory flow, oxygen saturation, respiratory and heart rates, and signs such as a silent chest. Initial care includes sitting the patient upright, removing triggers, and supporting oxygenation, followed by inhaled bronchodilator treatment and early systemic corticosteroids. The lesson also addresses additional treatment for more severe attacks, medications to avoid, and monitoring for deterioration. A poor response or signs such as exhaustion, altered mental state, rising carbon dioxide, or persistent hypoxia may require critical-care escalation. Safe care continues beyond stabilization, with discharge criteria, post-acute treatment, education, and timely follow-up.

Learning objectives

What you'll learn

  • Recognize features that suggest an acute asthma attack.
  • Identify clinical measures and signs used to assess attack severity.
  • Outline immediate supportive care and the main medication steps.
  • Describe warning signs that may prompt escalation to intensive care or intubation.
  • Summarize discharge planning and follow-up after an acute attack.
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