Acute exacerbation of Bronchial Asthma 1. Inj. DERIPHYLLIN 2cc IM stat (Theophyllin + Etophyllin =5d-7) 2. Asthalin inhaler 12 puffs. (5e-1=Salbutamol) If no response, or if attack is severe, 3. Inj. Aminophyllin 10ml + 25% glucose 10ml IV x very slowly (5D-2) OR inj. Adrenalin 0.5 ml subcut x in children and young adults. (5D-1) 4. Oxygen by Nasal catheter or mask. If there is no relief in 10 minutes. 1. Repeat Inj. Aminophyllin slow I.V. or Adrenalin S.C. 2. Inj. Decardon 2ccd I.V. (Dexamethasone=9A-2 or Betamethasone or Hydrocortisone) 3. Inj. Gentamycin 80mg I.V. 8 hrly (Respiratory antibiotic=7A) 4. Tab CALMPOSE 1 stat & S.O.S. (Tranquiliser = 4d-3) 5. Oxygen by nasal catheter or mask. If there is no relief still, 1. Refer to physician. 2. Start Amonophylin drip -2 amps, or aminophylin in bottle of 5% dextrose x20 drops/min 3. Inj. Sodabicard 50ml x slow I.V. injection. 4. Repeat Inj. Decardon as required After the attack subsides, start oral & inhaled Bronchodilator drugs. (For details, see ”Bronchial Asthma”)
