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Our approach to initial triage and home management of asthma exacerbations in adults and adolescents

This algorithm is designed for a medical professional providing advice to a patient who is at home and has an asthma exacerbation. More than one phone call may be needed to complete the algorithm.

PEF: peak expiratory flow; MDI: pressurized metered dose inhaler; SpO₂: pulse oxygen saturation; DPI: dry powder inhaler; FABA: fast-acting beta agonist (eg, albuterol, formoterol-budesonide).

* Comorbid conditions that may complicate asthma exacerbation:

Acute bronchitis
Acute bacterial sinusitis
Anaphylaxis
Heart failure, arrhythmias
Influenza, COVID-19
Pneumonia
Pneumothorax

¶ Response category is generally based on the criterion with the most severe impairment.

Reference: Global Initiative for Asthma. Global Strategy for Asthma Management and Prevention, 2021. Available from: www.ginasthma.org (Accessed on December 3, 2021).

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