What should be the focus of history in suspected status asthmaticus?

Updated: Jun 17, 2020
  • Author: Constantine K Saadeh, MD; Chief Editor: John J Oppenheimer, MD  more...
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Answer

If the physician does not obtain a thorough history for a patient with asthma, he or she may not recognize a person with high risk factors for acute and severe decompensation. This failure may prevent the aggressive use of bronchodilators, corticosteroids, and monitoring. When obtaining the history from a patient presenting with an acute exacerbation of asthma, the following should be determined:

  • Presence of current illness, such as upper respiratory tract infection or pneumonia

  • History of chronic respiratory diseases (eg, bronchopulmonary dysplasia, chronic lung disease of infancy)

  • History of atopy

  • History of allergies

  • Family history of asthma

  • Presence of pets or smokers in the home

  • Known triggering factors

  • Home medications - Obtain a detailed list of medications being taken at home and, if possible, their timing and dosage


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