Diagnosis:
- History of bronchial asthma
- Difficult breathing
- Wheezy chest
respiratory rate ↑-
Treatment:
- Give 500 ml saline or glucose solution by intravenous infusion + bronchial asthma cocktail.
Bronchial asthma cocktail consists of:
R/ Dexamethasone ampoule = Fortecortin ampoule.
R/ Minophylline, Ventolin or Atrovent ampoule = Theophylline ampoule.
R/ Bisolvon ampoule.
R/ Avil ampoule.
- If no improvement, give 1 or 2 Solu cortef ampoules
- It is possible to give these 4 drugs (cocktail) together in single injection directly intravenous but very slowly (over 15 minutes).
NB:
- If hypertensive patient → use glucose 5% (no saline)
- If diabetic patient → use saline 0.9% (no glucose)
- If hypertensive + diabetic → use glucose 5% + 10 units Insulin
-If cardiac patient → do not use Minophylline or Theophylline but use Atrovent (Ipratropium bromide) or Ventolin (Salbutamol).
- Never inject minophylline rapidly or non diluted as it may lead to convulsions and cardiac arrest.
- It is possible to give oxygen inhalation with these drugs especially in severe cases.
- It is possible to give 1 ml Farcolin + 2 ml saline through Nebulizer (in children give 1/2 ml Farcolin + 2 ml saline).
- It is very important to determine heart rate or diagnose heart problems before prescribing farcolin or giving farcolin intravenous because some cases may die due to negligence in such points.
Examples of drugs:
R/ Minophylline
R/ Ventolin (salbutamol)
R/ Salbovent (salbutamol)
R/ Atrovent (Ipratropium bromide)
R/ Bisolvon (Bromhexine)
R/ Mucosolvan (Ambroxol)
- History of bronchial asthma
- Difficult breathing
- Wheezy chest
respiratory rate ↑-
- Give 500 ml saline or glucose solution by intravenous infusion + bronchial asthma cocktail.
Bronchial asthma cocktail consists of:
R/ Dexamethasone ampoule = Fortecortin ampoule.
R/ Minophylline, Ventolin or Atrovent ampoule = Theophylline ampoule.
R/ Bisolvon ampoule.
R/ Avil ampoule.
- If no improvement, give 1 or 2 Solu cortef ampoules
- It is possible to give these 4 drugs (cocktail) together in single injection directly intravenous but very slowly (over 15 minutes).
NB:
- If hypertensive patient → use glucose 5% (no saline)
- If diabetic patient → use saline 0.9% (no glucose)
- If hypertensive + diabetic → use glucose 5% + 10 units Insulin
-If cardiac patient → do not use Minophylline or Theophylline but use Atrovent (Ipratropium bromide) or Ventolin (Salbutamol).
- Never inject minophylline rapidly or non diluted as it may lead to convulsions and cardiac arrest.
- It is possible to give oxygen inhalation with these drugs especially in severe cases.
- It is possible to give 1 ml Farcolin + 2 ml saline through Nebulizer (in children give 1/2 ml Farcolin + 2 ml saline).
- It is very important to determine heart rate or diagnose heart problems before prescribing farcolin or giving farcolin intravenous because some cases may die due to negligence in such points.
Examples of drugs:
R/ Minophylline
R/ Ventolin (salbutamol)
R/ Salbovent (salbutamol)
R/ Atrovent (Ipratropium bromide)
R/ Bisolvon (Bromhexine)
R/ Mucosolvan (Ambroxol)
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