asma 5

Handling Acute Asthma Attack:

 Oxygen mask or nasal and parenteral fluid therapy.
 Adrenalin 0.1 - 0.2 ml solution: 1: 1000, subkutan. When you need to be repeated every 20 minutes up to 3 times.
 followed or accompanied one of the drug below (per oral):

a. The Beta 2 - agonise to reduce bronkospasme:
 Ephedrine: 0.5 - 1 mg / kg / dose, 3 times / 24 hours
 Salbutamol: 0,1-0,15 mg / kg / dose, 3-4 hours kali/24
 Terbutalin: 0.075 mg / kg / dose, 3-4 times / 24 hours
The effect tachycardia, palpitate, dizziness, headache, nausea, disritmia, tremor, hypertension and insomnia. Nursing interventions described in the parents about the side effects drugs and monitor drug side effects.

b. Group Bronkodilator, to dilatasi bronkus, reduce bronkospasme and improve road clean the breath.
 Aminofilin: 4 mg / kg / dose, 3-4 hours /24
 Teofilin: 3 mg / kg / dose, 3-4 hours/24
Giving through intravenous not more than 25 mg per minutes. Efek addition to tachycardia, dysrhytmia, palpitasi, gastrointistinal irritation, central nervous system stimulus; toxic symptoms, frequent vomiting, thirst, mild fever, palpitasi, tinnitis, and convulsions. Nursing interventions; set flow infuse closely, use tools such as infuse special infuse pump.

c. The steroid, to reduce the swelling mucosa bronkus. Prednison: 0.5 - 2 mg / kg / day, for 3 days (in the onslaught).