Treatment of Acute Severe Asthma (Status Asthmaticus)

• Humidified oxygen inhalation
• Nebulized beta 2 Adrenergic agonist (salbutamol 5 mg/terbutaline 10 mg) + cholinergic agent ipratropium bromide 0.5 mg
• Systemic glucocorticoids: Intravenous hydrocortisone 200 mg i.v stat followed by a hydrocortisone 100mg or oral prednisolone 30-60 mg day, depending on the patient’s condition
• Intravenous fluids to correct dehydration
• Potassium supplement: To correct hypokalemia produced by repeated dose of salbutamol or terbutaline.
• Sodium bicarbonate to treat acidosis
• Antibiotics to treat infection