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Journal of Pharmacy Practice
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Emergency Department and Hospital Treatment of Asthma

Sandra J. Tsiu

Department of Pharmacy, Baptist Memorial Hospital; and the College of Pharmacy, University of Tennessee, Memphis, TN.

Timothy H. Self

Department of Pharmacy, Baptist Memorial Hospital; and the College of Pharmacy, University of Tennessee, Memphis, TN.

Asthma is one of the most frequently treated problems in emergency departments and hospitals. Over the last 10 years, several excellent clinical trials have redefined the optimal approach to treating acute, severe asthma. Both in the emergency department and in the hospital, frequent doses of inhaled ß2-agonists and systemic corticosteroids are the cornerstones of treatment. In either setting, theophylline therapy adds no or minimal benefits. Inhaled anticholinergics add to the efficacy of the initial dose only of inhaled ß2-agonist in the emergency department. Pharmacists should help ensure optimal treatment in acute care settings via protocols as well as routine patient monitoring and drug use evaluation. Improving long-term prevention of asthma should also be addressed by careful patient education and treatment protocols. Serving on a case management team is one excellent approach of helping patients with asthma. Providing pharmaceutical care for asthmatics is a rewarding experience that can dramatically improve clinical outcomes, including a reduced need for emergency and hospital treatment. Copyright © 1992 by W.B. Saunders Company

Journal of Pharmacy Practice, Vol. 5, No. 4, 177-185 (1992)
DOI: 10.1177/089719009200500404
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