Ministry of Health and Quality of Life/Mauritius Institute of Health/ World Health Organisation 1
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1 Ministry of Health and Quality of Life/Mauritius Institute of Health/ World Health Organisation 1
2 1. Introduction 2. Diagnosis of Asthma and Tests 3. Classification of Asthma Severity 4. Goals of Asthma Treatment 5. Treatment of Asthma 6. Treatment of Acute Severe Asthma 7. Life-threatening Asthma 8. Patient Education Recommendations Ministry of Health and Quality of Life/Mauritius Institute of Health/ World Health Organisation 2
3 Ministry of Health and Quality of Life/Mauritius Institute of Health/ World Health Organisation 3
4 - - Ministry of Health and Quality of Life/Mauritius Institute of Health/ World Health Organisation 4
5 β Ministry of Health and Quality of Life/Mauritius Institute of Health/ World Health Organisation 5
6 Ministry of Health and Quality of Life/Mauritius Institute of Health/ World Health Organisation 6
7 Ministry of Health and Quality of Life/Mauritius Institute of Health/ World Health Organisation 7
8 Ministry of Health and Quality of Life/Mauritius Institute of Health/ World Health Organisation 8
9 µ µ µ 6. TREATMENT OF ACUTE SEVERE ASTHMA Ministry of Health and Quality of Life/Mauritius Institute of Health/ World Health Organisation 9
10 The following criteria are suggested for recognition of acute severe asthma (based on the 1997 BTS guidelines) Pulse > 110 Respirations 25 breaths/min Cannot complete sentences in one breath PEF 50% predicted or best Patients with acute severe asthma should be kept under frequent and careful review. Any of these features not responding to treatment is an indication for emergency admission. Ministry of Health and Quality of Life/Mauritius Institute of Health/ World Health Organisation 10
11 Ministry of Health and Quality of Life/Mauritius Institute of Health/ World Health Organisation 11
12 Ministry of Health and Quality of Life/Mauritius Institute of Health/ World Health Organisation 12
13 RECOMMENDATIONS 1. All Area Health Centres and Community Health Centres should have a nebuliser 2. A peak flow meter should be available in all Community Health Centres and Area Health Centres 3. Both Salbutamol and Ipratropium Bromide solution should be available in all Area Health Centres and Community Health Centres. 4. Nurses and Health Educators should participate in the training of patients in using inhalers. Ministry of Health and Quality of Life/Mauritius Institute of Health/ World Health Organisation 13
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