Acute Severe Asthma
Acute Severe Asthma
Acute severe asthma is a sudden severe asthma that doesn't respond well to medicines.
It is life threatening. If you think someone has acute severe asthma, call right away. Treatment takes place in the emergency room and the hospital. But early treatment by first responders can be lifesaving.
Causes
Anyone with asthma can have an acute severe flare-up. Causes include:
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Infections, such as a cold or sinus infection
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Severe allergic reactions
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Inhaling irritants
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Not taking prescribed medicine
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Exercise
Symptoms
The symptoms of acute severe flare-ups often happen over hours or days. But they can come on faster. They include:
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Worsening trouble breathing and wheezing
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Fast breathing
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Worsening cough and chest tightness
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Can breathe only when sitting up
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Trouble walking and talking
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Sweating
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Fast heart rate
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Confusion or irritability, especially in children
Preventing a severe flare-up
To help prevent acute severe flare-ups be sure to:
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Identify and stay away from those things that cause flare-ups.
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Try to stay away from people who are sick. .
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Wash your hands often.
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Talk with your healthcare provider about vaccines you should get.
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If you have severe allergies, talk with your provider about seeing an allergist.
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If you smoke, get help to quit. Stay away from secondhand smoke, too.
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Take asthma medicines as directed by your healthcare provider. This is important for your long-term control medicines, even if you feel like your asthma is under control.
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If exercise is a trigger, make sure you use your quick-relief medicine before you are active. Keep an inhaler in your purse, gym bag, or backpack.
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Get treatment fast when your symptoms don't respond to your quick-relief or rescue asthma medicines.
Updated:  
August 14, 2018
Sources:  
Ferri F. Ferri: Practical Guide to the Care of the Medical Patient. 2010;8:350.
Reviewed By:  
Alan J Blaivas DO,John Hanrahan MD,Daphne Pierce-Smith RN MSN CCRC