Acute Asthma Care Pathway Overview

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Assessment - Traffic Light Features

Traffic Light System for identifying signs and symptoms of clinical dehydration and shock.

                                              

GP Guidelines

                               

Practice Point:

The paediatric hub can be contacted on the following telephone numbers:

Daytime (08:00- 18:30) - 01452 687 000

OOH Healthcare Professional (HCP) Line (18:30-08:00) - 0330 053 6359
Your patient will be contacted during the out of hours period, assessed and the appropriate actions taken.

Initial GP Management

Moderate exacerbation:

  • Give 2 – 10 puffs of ß agonist via a spacer (with a facemask in younger children using tidal breathing)
  • Use patient own spacer where available
  • Increase ß agonist dose by 2 puffs every 2 minutes up to 10 puffs according to response
  • Consider an appropriate dose of soluble oral prednisolone (see table 5)

Assess response.

Ongoing GP Management

If good response:

  • Advise patient to continue using ß agonist via spacer as needed (but not exceeding 4 hourly)
  • Give asthma discharge management advice leaflet
  • Continue prednisolone for up to 3 days
  • Arrange asthma clinic follow up within 48 hours
  • Review inhaler technique

 

IF DETERIORATION CONSIDER IF NOW AMBER / RED

Practice Point:

The paediatric hub can be contacted on the following telephone numbers:

Daytime (08:00- 18:30) - 01452 687 000

OOH Healthcare Professional (HCP) Line (18:30-08:00) - 0330 053 6359
Your patient will be contacted during the out of hours period, assessed and the appropriate actions taken.

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