Asthma Exacerbation

HISTORY:

‍WheezingShortness of breathCough for ‍ ‍hoursdays

‍shortness of breath

‍wheezing

‍cough, ‍non-productiveproductive

‍sputum, ‍clearcolored

‍chest tightness

‍chest discomfort

‍tachypnea

‍difficulty speaking

‍fatigue

‍sleep disturbance

‍anxiety

Worsening factors: ‍none

Treatments tried: ‍none, ‍effectiveineffective



EXAM:

General appearance: ‍well-appearing

Vital signs: ‍normal, BP ‍, HR ‍, RR ‍, SpO2 ‍ %, Temp ‍°

Nose: ‍normal

Throat: ‍normalrednessexudate

Neck: ‍normallymphadenopathy

Heart: ‍RRR, ‍normal S1 and S2

Lungs: ‍clearabnormal sounds, ‍retractions



ASSESSMENT:

‍Asthma exacerbation ‍likelysuspectedpossible

DDx: ‍



PLAN:

- Chest X-ray

- Blood gaz

- Peak flow

- Pulmonary function tests

- Increase ‍Short-acting bronchodilators (SABAs)

- Increase ‍Inhaled corticosteroids (ICS)

- Increase ‍Combination inhalers with ICS

- ‍Antibiotics

- ‍Steroids

- Oxygen therapy if SpO2 < 92%

- Ensure proper inhalation technique and spacer use

- Smoking cessation counseling

- Referral to pulmonologist

- Follow-up in ‍ ‍daysweeksmonths