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Our approach to initial triage and home management of asthma exacerbations in adults and adolescents

Our approach to initial triage and home management of asthma exacerbations in adults and adolescents
This algorithm is designed for a medical professional providing advice to a patient who is at home and has an asthma exacerbation. More than one phone call may be needed to complete the algorithm.

DPI: dry powder inhaler; FABA: fast-acting beta agonist (eg, albuterol albuterol-budesonide formoterol-inhaled glucocorticoid combination inhaler); MDI: pressurized metered dose inhaler; PEF: peak expiratory flow; SpO2: pulse oxygen saturation.

* Comorbid conditions that may complicate asthma exacerbation:
  • Acute bronchitis
  • Acute bacterial sinusitis
  • Anaphylaxis
  • Heart failure, arrhythmias
  • Influenza, COVID-19
  • Pneumonia
  • Pneumothorax

¶ Response category is generally based on the criterion with the most severe impairment.

Reference: Global Initiative for Asthma. Global Strategy for Asthma Management and Prevention, 2021. Available from: www.ginasthma.org (Accessed on December 3, 2021).
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