SAQ 1097 – Severe asthma requiring ventilation

A 35-year-old woman presents to your emergency department with an acute asthma attack. She is extremely distressed and can only speak single words despite continuous salbutamol nebulisers.

List four (4) markers of severe asthma.

(Marked out of 4.0)

/ 4

Complete the table for intravenous salbutamol and magnesium sulfate in asthma, including indication/rationale and adverse effects.

(Marked out of 8.0)
</p> <table class="saq-prop-table" style="width: 100%; table-layout: fixed; border-collapse: collapse; max-width: 100%;"> <thead> <tr> <th style="overflow-wrap: anywhere; word-break: normal; vertical-align: top; white-space: normal; box-sizing: border-box;">Drug</th> <th style="overflow-wrap: anywhere; word-break: normal; vertical-align: top; white-space: normal; box-sizing: border-box;">Indication and rationale</th> <th style="overflow-wrap: anywhere; word-break: normal; vertical-align: top; white-space: normal; box-sizing: border-box;">Adverse effects</th> </tr> </thead> <tbody> <tr> <td style="overflow-wrap: anywhere; word-break: normal; vertical-align: top; white-space: normal; box-sizing: border-box;">Intravenous salbutamol</td> <td style="overflow-wrap: anywhere; word-break: normal; vertical-align: top; white-space: normal; box-sizing: border-box;"></td> <td style="overflow-wrap: anywhere; word-break: normal; vertical-align: top; white-space: normal; box-sizing: border-box;"></td> </tr> <tr> <td style="overflow-wrap: anywhere; word-break: normal; vertical-align: top; white-space: normal; box-sizing: border-box;">Magnesium sulfate</td> <td style="overflow-wrap: anywhere; word-break: normal; vertical-align: top; white-space: normal; box-sizing: border-box;"></td> <td style="overflow-wrap: anywhere; word-break: normal; vertical-align: top; white-space: normal; box-sizing: border-box;"></td> </tr> </tbody> </table> <p>

/ 8

Despite intensive therapy and a trial of non-invasive ventilation she deteriorates, appears exhausted and starts tiring rapidly. You decide intubation is required. Outline your initial ventilator settings.

(Marked out of 4.0)

/ 4

List likely causes of rising airway pressures in a ventilated asthmatic.

(Marked out of 4.0)

/ 4

Total Score: 0 / 20

Percentage: 0%