Why are steroids recommended in all acute exacerbations of asthma: BTS guidelines?

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Why are steroids recommended in all acute exacerbations of asthma: BTS guidelines?

ASTHMA

Scenario
Sept 11
Robert is 32 years old and has been asthmatic since the age of 7. His asthma has
been well managed for the past 3 years with the occasional use of salbutamol
(Albuterol) inhaler: Salamol: 2 puffs (100mcg/puff). He has not had an asthma
attack for a number of years.
Robert is currently in the 3 rd year of his environmental science degree and finding
life generally stressful at the moment. For the past month he has been using his
Salamol inhaler: 2 puffs (100mcg/puff) more frequently: up to three times a day
He has been admitted via the emergency department to a medical ward following
treatment for an acute exacerbation of asthma. He is currently stable and
prescribed the following medications:
Salbutamol (Steri-neb) 5mg four times a day, via oxygen driven nebuliser
Ipratropium bromide (Atrovent) 0.5mg four times a day, via oxygen driven nebuliser
Prednisolone 30mg, once a day, orally for 5 days
His current observations are:
Sa0 2: 97% on 35% humidified oxygen
Pulse: 101 bpm
Blood pressure: 143/80mmHg
RR: 28 breaths per minute
Temperature: 37.2°C
Shaw et al (2009) Chapter 8 & Howell (2010)
Presenter 2: Discuss Howell article: How does ethical theory and anthropocentric views inform how we view the environment? Highlight key arguments around environmental ethics. Comment on how the readings help you in your understanding of business ethics.
It is suggested that you write only one introduction, conclusion and reference list for
this assignment and make reference to part A and part B in your introduction. This
will mean that your word limit will not be reduced too much for each section of the
assignment

 

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