Asthma Acute Exacerbation Management — free guideline decision tool
This tool directs asthma exacerbation management by severity, framing bronchodilators, systemic steroids, controlled oxygen, and escalation.
Open guideline tool →Guideline-based
Implements the decision logic from published clinical guidelines.
Runs in your browser
No installation. Enter the patient's values and get a guideline recommendation instantly.
Data stays local
Nothing is uploaded. Results are for licensed clinicians only.
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| Exacerbation severity | Mild-moderate |
|---|
→Severity & dispositionMild-moderate: manageable in outpatient/community
- Triage：Mild-moderate: manageable in outpatient/community
- Bronchodilator：Repeated inhaled SABA (salbutamol 2–4 puffs, every 20 min for 1 h)
- Systemic steroid：Increase ICS (2–4×) or oral prednisone 40–50 mg (or 0.5–1 mg/kg), 5–7 day course
| Exacerbation severity | Life-threatening (drowsiness/coma/silent chest) |
|---|
→Severity & dispositionLife-threatening: ED/ICU, prepare for intubation and mechanical ventilation
- Triage：Life-threatening: ED/ICU, prepare for intubation and mechanical ventilation
- Bronchodilator：Continuous SABA + ipratropium nebulization
- Systemic steroid：Systemic glucocorticoid early: oral prednisone 40–50 mg or IV methylprednisolone
Common questions
What is Asthma Acute Exacerbation Management?
This tool directs asthma exacerbation management by severity, framing bronchodilators, systemic steroids, controlled oxygen, and escalation.
How is Asthma Acute Exacerbation Management calculated? What is the core formula?
Core: repeated SABA + early systemic steroid + controlled oxygen (SpO₂ 93–95%). Severe adds ipratropium ± IV magnesium sulfate 2 g; life-threatening prepares for mechanical ventilation.
When is Asthma Acute Exacerbation Management used?
Use to triage and treat: mild-moderate in outpatient/community, severe in the ED with ipratropium and possible IV magnesium, and life-threatening in ED/ICU with ventilation readiness.
What are the key clinical points for Asthma Acute Exacerbation Management?
IV theophylline/aminophylline is avoided for poor efficacy and high risk, and response is reassessed 1 hour after treatment. (original synthesis · not guideline verbatim) Systemic glucocorticoid is given early in severe exacerbations and a 5–7 day oral course in milder ones. Controller drugs are adjusted and follow-up arranged before discharge.
What are the limits and cautions when using Asthma Acute Exacerbation Management?
For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.
How is Asthma Acute Exacerbation Management calculated in practice? Can you show a worked example?
Inputs: Exacerbation severity Mild-moderate → Result: Severity & disposition Mild-moderate: manageable in outpatient/community（Triage: Mild-moderate: manageable in outpatient/community, Bronchodilator: Repeated inhaled SABA (salbutamol 2–4 puffs, every 20 min for 1 h), Systemic steroid: Increase ICS (2–4×) or oral prednisone 40–50 mg (or 0.5–1 mg/kg), 5–7 day course） Inputs: Exacerbation severity Life-threatening (drowsiness/coma/silent chest) → Result: Severity & disposition Life-threatening: ED/ICU, prepare for intubation and mechanical ventilation（Triage: Life-threatening: ED/ICU, prepare for intubation and mechanical ventilation, Bronchodilator: Continuous SABA + ipratropium nebulization, Systemic steroid: Systemic glucocorticoid early: oral prednisone 40–50 mg or IV methylprednisolone）
Run Asthma Acute Exacerbation Management now
This tool directs asthma exacerbation management by severity, framing bronchodilators, systemic steroids, controlled oxygen, and escalation.
Open guideline tool →For licensed clinicians. Not a substitute for clinical judgement.
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