Acute Severe Asthma

• Monitor PEF, which should increase to greater than 70% of personal best or predicted after the first three doses of an inhaled SABA.

• Monitor patients for hypoxemia. Oxygen saturation should be greater than 90% in adults and greater than 95% in children, pregnant women, and patients with coexisting cardiovascular disease.

• In patients with severe exacerbations, monitoring of Pco2 should be considered. Patients with acute asthma usually have a respiratory alkalosis, and a normal or increased Pco2 indicates the potential for respiratory failure.

• Monitor serum potassium in patients receiving high-dose or continuous nebuliza-tion of SABA. Serum potassium concentrations should be obtained upon hospital admission, and if the patient is hypokalemic, every 4 hours (after each 30 to 40 mEq [mmol] of replacement) until the serum potassium is stable. Serum potassium should be monitored every 3 to 6 months after discharge.

Reducing Blood Pressure Naturally

Reducing Blood Pressure Naturally

Do You Suffer From High Blood Pressure? Do You Feel Like This Silent Killer Might Be Stalking You? Have you been diagnosed or pre-hypertension and hypertension? Then JOIN THE CROWD Nearly 1 in 3 adults in the United States suffer from High Blood Pressure and only 1 in 3 adults are actually aware that they have it.

Get My Free Ebook

Post a comment