Conclusion Acute asthma exacerbations are common. Causes are varied, ranging from viral infections to people who may be “exacerbationprone phenotypes”. Guidelines advise a thorough assessment followed by standard treatment with oxygen where necessary,
and inhaled bronchodilators via pMDI and spacer, or oxygen-driven nebuliser in more severe episodes. Several factors, both medical and psychosocial, influence whether a patient is admitted to hospital. Those who are managed in primary care should be reviewed on the final day of the OCS course to optimise management, reinforce selfmanagement strategies and agree a written asthma action plan. NT
Conclusion Acute asthma exacerbations are common. Causes are varied, ranging from viral infections to people who may be “exacerbationprone phenotypes”. Guidelines advise a thorough assessment followed by standard treatment with oxygen where necessary, and inhaled bronchodilators via pMDI and spacer, or oxygen-driven nebuliser in more severe episodes. Several factors, both medical and psychosocial, influence whether a patient is admitted to hospital. Those who are managed in primary care should be reviewed on the final day of the OCS course to optimise management, reinforce selfmanagement strategies and agree a written asthma action plan. NT
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