Wednesday, 6 April 2016

Threatening features of acute severe asthma | Crack PGIMER 22 MAY 2016

All are life threatening features of acute severe asthma in children except:

A. Altered sensorium
B. Pulsus paradoxus
C. Audible wheeze in both inspiration and expiration
D. All of the above are life threatening

The answer is. (D)
The presence of anyone of the following features indicate severe bronchial asthma:
1. Cyanosis.
2. Silent chest on auscultation.
3. Poor respiratory efforts.
4. Fatigue/exhaustion.
5. Altered sensorium.
6. PEFR < 30% of the predicted value.
7. Oxygen saturation < 90%