Asthmatic patient with breathlessness

A 58 year old male, non-smoker, asthmatic patient was referred with 3 weeks history of breathlessness, wheezing, and dry cough. He had a history of acute severe asthma many years ago. However, he had not required ventilatory support during that period. Since then, he had self-medicating intermittently with oral salbutamol and theophylline only. On examination, the patient had dyspnoea at rest and tachycardia. Oxygen saturation was 90% on room air. Respiratory examination revealed bilateral polyphonic rhonchi; otherwise, he was normal. Arterial blood gas analysis revealed hypoxemia (PaO2: 54 mmHg) with respiratory alkalosis (pH: 7.43, PaCO2: 32.3 mmHg and Bicarbonate: 20 mEq/l). Let's discuss the case on today's World Asthma Day

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Status Asthmaticus Steroid+antibiotics ,antiallergic Bronchodilator Nebulizer, O2 inhalation Adv pulmonary function test Rule out COVID-19
SUGGESTIVE. Of. A. R. D. S COPD EMPHYSEMA SECONDARY. INFECTION
Its acute exacerbation of asthma . U have to use steroids. Give oxygen maintain spo2 above 92 percent. Give iv hydrocortisone 2 vial iv stat followed by 1 vial iv 6 hourly. Nebulize with asthalin 4 to 6 hourly. U can add duolin too 6 hourly . Inj rantac 1 ampoule iv bd. Keep a check on tachycardia . No role of antibiotics . However azithromycin has a immunomodulatory effect. Discharge him on inhalation steroid with long acting bronchodilator . U can use monteleukast too . Do cbc crp cxr . Later supplement him with vit d3 . Hope it helps .
Acute asthmatic bronchitis ? Status asthmaticus Bronchodilator Steroids Antibiotics Pul function test Nebulise with didi oft and dexa
STATUS ASTHMATICUS WITH COPD EMPHYSEMA LEADING TO ARDS TO BE EVALUATED PROPERLY TO CONCLUDE INCLUDING COVID-19
Thanks Dr. Vipin Bihari Jain
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Hyperinflation Changes of COPD emphysema Intrabroncheal thin flaps seen. Extraluminal compression seen.
Status asthmaticus copd emphysema tree bird appearance obstructive alveola do pft
IT'S A..CASE OF.. ? ACUTE ASTHMATIC BRONCHITIS.. ? SARI .. ? COVID-19..
Tnx Dr Gyanendranath Tripathy
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Agree@Vipin Bihari Jain
Acute Bronchial Asthma ARDS Ad spirometery
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