<<forEachTiddler where 'tiddler.tags.contains(context.inTiddler.title)' sortBy tiddler.title ascending write '"*[["+tiddler.title+"]]\n"'>> <<tiddler AutoRefresh with: force>> inflammation of large and small airways that become hyper-responsive, leading to broncho-constriction, oedema and mucus plug formation ||''PEFR & of predicted/best''|''Speech''|''RR''|''Pulse''|''Mx''| |''Moderate''|>50%|Normal speech|<25|<110|nebulised (or spacer) salbutamol (4-6puffs interval 10-20 mins), if PEFR 50-75% - pred 40-50mg| |''Severe''|33-50%|can't complete sentences|>25|>110|plus ... consider admission if no response after 20 mins, O2 to maintain sats 94-98%| |''Life-threatening''|<33%|exhaustion, confusion, coma|silent chest / cyanosis / feeble resp effort / O2 sats <92%|brady, dysrythmia, hypotension|admit (via 999), nebulise - salbutamol + ipratropium, O2 (94-98%), pred or IV hydrocortisone (100mg)| ''Red flags'' Accessory muscles - sitting up, not sentances Tachycardia (100), pulsus paradoxsus, wheeze, tachypnoea (25) silent chest, drowsy (hypercapnia), tired and fearful PEFR <33% normal