Asthma — Uganda (General Adult population)
Acute Mild to Moderate Attack
Salbutamol inhaler 2-10 puffs via spacer OR 5 mg (2.5 mg in children) nebulisation. Repeat every 20-30 min if necessary. Prednisolone 50 mg (1 mg/kg for children).
Discharge after Mild/Moderate
Prednisolone 50 mg (1 mg/kg for children) once a day for 5 days (3 days for children). Review in 48 hours.
Acute Severe Attack
High flow oxygen (aim SpO2 ≥94%). Salbutamol 2-10 puffs or 5mg nebulisation repeated every 20-30 min during 1st hour. Prednisolone 50 mg OR Hydrocortisone 100 mg IV every 6 hours.
Acute Severe Attack (Poor response)
Ipratropium bromide nebuliser 500 mcg every 20-30 min for 2 hours. OR Aminophylline 250 mg slow IV bolus.
Life Threatening Attack
Immediate hospital admission. Oxygen. Salbutamol repeat every 20 min for 1 hour. Hydrocortisone 100 mg IV stat. Ipratropium nebuliser. If poor response, Aminophylline 250 mg IV bolus.
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