Asthma — Advanced Nursing Guide

Acute Severe Management & Chronic Care | GCC / DHA / DOH / SCFHS Exam Ready | GINA 2023 & BTS/SIGN

🔬Pathophysiology
Core Triad
  • Airway inflammation — chronic eosinophilic or neutrophilic infiltration of bronchial mucosa
  • Airway hyperresponsiveness (AHR) — exaggerated bronchoconstriction to stimuli
  • Reversible airflow obstruction — spontaneously or with treatment
Endotypes
T2-High (Eosinophilic)
  • Th2 driven: IL-4, IL-5, IL-13, IgE
  • Allergic or late-onset eosinophilic
  • Responds to ICS, biologics (anti-IL-5, anti-IgE)
T2-Low (Non-eosinophilic)
  • Neutrophilic or paucigranulocytic
  • Obesity-related, smoking-related
  • Poorer ICS response; consider macrolides
📊Diagnosis
PEFR Variability
Diurnal variation >10% on ≥3 days in a week for 2 weeks (home diary). Morning dip is characteristic.
Spirometry Reversibility
Post-bronchodilator FEV1 increase ≥12% AND ≥200 mL from baseline — confirms reversible airflow limitation.
Bronchial Provocation Testing
  • Methacholine or mannitol challenge
  • Used when spirometry is normal but asthma suspected
  • Positive: PC20 <8 mg/mL (methacholine) = AHR confirmed
  • High sensitivity; stop if FEV1 falls >20%
Supportive Markers
FeNO >25 ppb (airway eosinophilia) Blood eosinophils >0.3 × 10⁹/L Total IgE elevated Skin prick test positive
📋GINA 2023 — Classification by Level of Control
Control Level Daytime Symptoms Night Waking Reliever Use Activity Limitation PEFR/FEV₁
Well-Controlled ≤2 days/week None ≤2 days/week None ≥80% predicted
Partly Controlled Any 1–2 features present in any week 60–79%
Uncontrolled 3+ features present in any week OR any acute exacerbation <60%

GINA 2023: Assess control at every visit. Uncontrolled asthma = consider step-up. Review technique and adherence before stepping up.

⚠️Asthma Triggers — VACT
  • Viral infections — rhinovirus most common trigger of exacerbations
  • Allergens — HDM, pollen, pet dander, mould spores, cockroach
  • Cold air / exercise — post-exercise bronchospasm (EIB)
  • Tobacco smoke — active and passive; worsens control
  • NSAIDs / Aspirin — Samter's triad (asthma + nasal polyps + NSAID sensitivity)
  • Beta-blockers — even ophthalmic drops can trigger bronchospasm
  • Emotional stress — hyperventilation, vagal response
  • Air pollution — PM2.5, ozone, nitrogen dioxide
  • Occupational — isocyanates, flour, latex, wood dust
🚨Risk Factors for Fatal/Near-Fatal Attack
  • Poor adherence with preventer therapy
  • Overuse of SABA — ≥3 canisters/year = danger sign
  • No ICS preventer prescribed or taken
  • Nocturnal symptoms — circadian cortisol nadir
  • Food allergy (especially peanut) + asthma
  • Psychosocial factors — depression, denial, low income
  • Previous ICU admission / intubation
  • Brittle asthma — unpredictable severe attacks
  • Smoking, obesity, non-adherence to follow-up
🪜GINA 2023 Stepwise Management

Step up if symptoms uncontrolled for ≥3 months; step down if well-controlled for ≥3 months. Review inhaler technique and adherence at every step change.

1
Step 1 — As-needed low-dose ICS-formoterol (preferred) OR SABA alone As-needed ICS-formoterol (e.g. budesonide/formoterol) — even if mild intermittent symptoms. Reduces exacerbation risk vs SABA alone. Preferred over SABA-only in adults & adolescents.
2
Step 2 — Regular low-dose ICS daily + as-needed SABA OR as-needed low-dose ICS-formoterol Daily ICS is cornerstone. Alternatives: LTRA (montelukast) if ICS not tolerated. As-needed ICS-formoterol also effective.
3
Step 3 — Low-dose ICS/LABA combination (preferred) + as-needed SABA or ICS-formoterol ICS/LABA synergistically reduces exacerbations and improves symptom control. Medium-dose ICS is alternative. Add LTRA as third option.
4
Step 4 — Medium/high-dose ICS/LABA + as-needed reliever Consider specialist referral. Add tiotropium as third controller (LAMA). Review diagnosis. MART (maintenance and reliever) with ICS-formoterol.
5
Step 5 — High-dose ICS/LABA + add-on therapies — specialist centre Biologics, tiotropium, low-dose OCS. Severe refractory asthma phenotyping required before biologic selection.
💨Reliever Inhalers
SABA — Short-Acting Beta-2 Agonist
  • Salbutamol (albuterol) — blue inhaler
  • Onset: 5 min; Duration: 4–6 hours
  • Rescue only — not regular preventive use
  • ≥3 canisters/year = poor control / danger sign
  • Terbutaline — alternative SABA
MART — Maintenance And Reliever Therapy
  • ICS-formoterol used for BOTH daily maintenance AND rescue
  • e.g., Symbicort (budesonide/formoterol) or Fostair
  • Reduces exacerbations vs fixed-dose regimens
  • Only formoterol-containing ICS combos are MART-approved (rapid onset)
🛡️Controller Inhalers (ICS)
Common ICS Agents
Beclometasone (Clenil, Qvar) Fluticasone (Flixotide, Flovent) Budesonide (Pulmicort) Ciclesonide (Alvesco) Mometasone (Asmanex)
Critical Nursing Points
  • Regular daily use is essential — not PRN
  • Rinse mouth with water after every ICS dose — prevents oral candidiasis (thrush) and dysphonia
  • ICS takes 2–4 weeks for full effect — educate patients
  • Use spacer with MDI to improve lung deposition
ICS/LABA Combinations
Seretide — fluticasone/salmeterol Symbicort — budesonide/formoterol Fostair — beclometasone/formoterol Relvar — fluticasone furoate/vilanterol (OD)
🧬Biologics for Severe Asthma (Step 5)
BiologicTargetCriteriaRoute
Omalizumab
Xolair
Anti-IgE Elevated IgE (30–1500 IU/mL) + sensitised to perennial allergen + ≥6 years SC every 2–4 weeks
Mepolizumab
Nucala
Anti-IL-5 Blood eosinophils ≥0.3 × 10⁹/L + ≥2 exacerbations/year SC every 4 weeks
Benralizumab
Fasenra
Anti-IL-5Rα Blood eosinophils ≥0.3 × 10⁹/L SC; 3 doses monthly then every 8 weeks
Dupilumab
Dupixent
Anti-IL-4Rα (blocks IL-4 & IL-13) Eosinophils ≥0.15 × 10⁹/L or FeNO ≥25 ppb; also for comorbid atopic dermatitis SC every 2 weeks
Tezepelumab
Tezspire
Anti-TSLP (upstream) Severe uncontrolled regardless of eosinophil count — broadest eligibility SC every 4 weeks

All biologics: specialist initiation, 3–4 month trial, continue if ≥50% reduction in exacerbations. Monitor for anaphylaxis post-injection (observe 30 min).

🏥BTS/SIGN Acute Asthma Severity Classification
SeverityPEFR % Best/PredictedSpO₂Clinical Features
Moderate 50–75% ≥92% Increasing symptoms; able to speak in sentences; no features of severe/life-threatening
Severe 33–50% ≥92% Any one of: unable to complete sentences / RR ≥25/min / HR ≥110 bpm / use of accessory muscles
Life-Threatening <33% (or unrecordable) <92% Any one of: silent chest / cyanosis / feeble respiratory effort / bradycardia / dysrhythmia / hypotension / exhaustion / confusion / coma
Near-Fatal Absent / unrecordable <92% Raised PaCO₂ (>6 kPa) AND/OR requiring mechanical ventilation with raised inflation pressures
💉Immediate Treatment Protocol
Oxygen
  • Target SpO₂: 94–98%
  • Use controlled oxygen — avoid hyperoxia
  • High-flow if SpO₂ <92%; titrate down once stable
SABA Nebulisers
  • Salbutamol 2.5–5 mg nebulised — back-to-back x3 (every 20 min) if severe
  • Continuous nebulisation (5–10 mg/h) for life-threatening
  • Driven by oxygen nebuliser in acute asthma
Ipratropium Bromide
  • 0.5 mg nebulised every 4–6 hours
  • Add to SABA for severe/life-threatening asthma
  • Synergistic bronchodilation; reduces hospital admissions
Corticosteroids
  • Prednisolone 40–50 mg oral for 5 days (preferred)
  • IV hydrocortisone 200 mg if unable to swallow
  • Oral and IV equally effective — no taper needed for 5-day course
  • Start immediately — do not delay for other interventions
🧪Magnesium Sulphate & Escalation
IV Magnesium Sulphate
  • 2g IV over 20 minutes — single dose
  • Indication: Severe or Life-threatening asthma not responding to initial treatment
  • Smooth muscle relaxation via calcium antagonism
  • Monitor BP during infusion (vasodilatory)
  • May also use nebulised isotonic MgSO₄ (151 mg) in some protocols
ICU Indications — Call Early
  • Life-threatening features not improving
  • Near-fatal criteria: PaCO₂ >6 kPa rising
  • Deteriorating despite maximal therapy
  • Exhaustion, falling consciousness
  • Respiratory arrest / severe hypoxaemia
Intubation Risks in Asthma
  • Avoid if possible — high complication rate
  • Dynamic hyperinflation / breath stacking
  • Pneumothorax, pneumomediastinum
  • Post-intubation hypotension
  • Difficult extubation due to bronchospasm
🔴Acute Severity Classifier Tool
Acute Asthma Severity Classifier (BTS/SIGN)
🚨Near-Fatal Asthma — Features & Recognition
Defining Features of Near-Fatal Asthma
Gasometric
  • PaCO₂ >6 kPa (hypercapnia = respiratory muscle fatigue)
  • Severe hypoxaemia PaO₂ <8 kPa
  • Respiratory acidosis pH <7.35
Clinical
  • Silent chest (no wheeze = no airflow)
  • Absent or unrecordable PEFR
  • Cyanosis
  • Exhaustion — unable to sustain effort
Haemodynamic
  • Bradycardia / dysrhythmia
  • Hypotension
  • Pulsus paradoxus >25 mmHg
  • Altered consciousness / coma
Silent Chest Warning — absence of wheeze in severe asthma = near-total airway obstruction = immediately life-threatening. Do NOT be reassured by absence of wheeze.
💊Induction & Intubation in Asthma
Preferred Induction Agent
Ketamine
  • Dissociative anaesthetic with bronchodilator properties (catecholamine release → beta-2 agonism)
  • Dose: 1–2 mg/kg IV for induction
  • Preserves airway reflexes and haemodynamics
  • Caution: may increase secretions — have suction ready
Avoid
  • Thiopentone — histamine release, may worsen bronchospasm
  • Morphine — histamine release
  • Suxamethonium — use with caution (hyperkalaemia risk)
Post-Intubation
  • RSI (Rapid Sequence Intubation) technique
  • Largest ETT possible — reduces resistance
  • In-line suction available
  • Confirm with ETCO₂ and CXR
🫁Ventilation Strategy for Asthma
Permissive Hypercapnia Strategy
  • Accept higher PaCO₂ (up to 8–10 kPa) to avoid barotrauma
  • Goal: prevent dynamic hyperinflation
Ventilator Settings
RR: 10–12/min (low rate) TV: 6–8 mL/kg IBW PEEP: low (0–5 cmH₂O) I:E ratio: 1:3 or 1:4 High peak inspiratory flow rate
Avoid Breath Stacking
  • Maximise expiratory time — gas must fully escape
  • Dynamic hyperinflation → intrinsic PEEP (auto-PEEP)
  • Air trapping → tension pneumothorax risk
  • Hypotension — disconnect circuit to release trapped air if needed
Check for pneumothorax if sudden deterioration on ventilator — urgent needle decompression if tension pneumo.
🧪IV Bronchodilator Therapy (ICU)
Mg
IV Magnesium Sulphate 2g over 20 min First-line adjunct for severe/life-threatening. May repeat. Monitor deep tendon reflexes (loss = toxicity).
S
IV Salbutamol 5 mcg/min infusion (titrate up to 20 mcg/min) Use only if nebulised route ineffective. Monitor HR and K⁺ (hypokalaemia risk from SABA).
A
IV Aminophylline (loading 5 mg/kg over 20 min, then infusion) Narrow therapeutic index — monitor levels (10–20 mg/L). Risk: tachycardia, seizures, arrhythmia. Avoid if on oral theophylline.
Heliox (He-O₂ mixture)
  • Helium-oxygen mixture (70:30 or 60:40)
  • Lower density → reduces turbulent airflow → improves gas delivery past obstruction
  • Use as bridge to other therapies in severe obstruction
  • Limits FiO₂ — avoid if SpO₂ <92%
💊Sedation, Paralysis & Recovery
ICU Sedation Strategy
  • Propofol — bronchodilatory, preferred infusion
  • Midazolam / ketamine — for agitation
  • Avoid histamine-releasing agents
  • Minimise sedation depth — aim for light/moderate (RASS 0 to -2)
Paralysis (NMB)
  • Cisatracurium or vecuronium for ventilator dyssynchrony
  • Avoid prolonged use — ICU-acquired weakness risk
  • Use with deep sedation only
Post-ICU Recovery
  • Wean ventilator as bronchospasm resolves
  • Extubate when awake, strong cough, SpO₂ stable on FiO₂ <0.4
  • Escalate ICS immediately on discharge from ICU
  • Mandatory outpatient follow-up within 2 days
  • Psychological assessment — ICU experience, depression screening
  • Formal written asthma action plan before discharge
📗Personalised Asthma Action Plan (PAAP)

Based on PEFR % of personal best OR symptom-based. Written and given to every patient. Reviewed at every appointment.

GREEN ZONE — 80–100% PEFR / No Symptoms
  • Continue regular controller medication as prescribed
  • No need for extra reliever
  • Regular exercise and normal activities
  • Review triggers and avoid where possible
AMBER ZONE — 50–79% PEFR / Increasing Symptoms
  • Take 2–4 puffs salbutamol MDI (or nebuliser 2.5 mg) immediately
  • If on MART: take extra ICS-formoterol doses (max 8 puffs/day)
  • Start/increase oral prednisolone 40 mg if prescribed in plan
  • Repeat salbutamol every 20 minutes up to 3 times
  • If not improving within 1 hour → go to RED ZONE / seek emergency care
RED ZONE — <50% PEFR / Severe Symptoms / Not Improving
  • Take salbutamol 10 puffs via spacer (1 puff every 30–60 seconds)
  • Call ambulance / go to emergency department IMMEDIATELY
  • Take prednisolone 40–50 mg (if available)
  • Continue salbutamol every 20 minutes while waiting for help
  • Do NOT drive yourself — call 999 / 112 / 911
💨Inhaler Technique
MDI (Metered Dose Inhaler) — Correct Technique
  1. Shake well for 5 seconds; remove cap
  2. Breathe out slowly and fully
  3. Place mouthpiece in mouth — seal lips
  4. Press canister down AND breathe in slowly over 3–5 seconds
  5. Hold breath for 10 seconds
  6. Breathe out slowly; wait 30 seconds between puffs
  7. Rinse mouth after ICS
MDI + Spacer
  1. Shake MDI; attach to spacer
  2. Press canister once into spacer
  3. Breathe in slowly through spacer mouthpiece
  4. Hold breath 5–10 seconds OR take 5 tidal breaths through spacer
  5. Wait 30 sec; repeat for next puff
DPI (Dry Powder Inhaler) — e.g. Turbohaler, Accuhaler
  • Load the dose (twist/click mechanism)
  • Breathe out away from inhaler (not into it)
  • Breathe in hard and fast — unlike MDI (no slow breath)
  • Hold breath 10 seconds
  • DPIs require adequate inspiratory flow — not ideal in acute severe attack
🧼Spacer Maintenance & Adherence
Spacer Cleaning
  • Wash weekly with washing-up liquid (dish soap)
  • Air dry — do not towel dry (static reduces drug delivery)
  • Replace every 6–12 months or if cracked/dirty
  • Avoid rinsing with water between uses
Adherence Barriers — Address Proactively
  • Denial — "I'm fine, I don't need it every day"
  • Side effect fears — "Steroids will harm me" (reassure: ICS are topical, low systemic absorption)
  • Cost — explore formulary alternatives, generic options
  • Poor technique — regular reassessment at every visit
  • Forgetting — tie to daily routine (brushing teeth); phone reminders
  • Cultural — religious concerns about inhaler during Ramadan (see Tab 6)
Trigger Avoidance — House Dust Mite
  • Allergen-impermeable mattress & pillow covers
  • Wash bedding at ≥60°C weekly
  • HEPA filter vacuum cleaner; vacuum frequently
  • Reduce soft furnishings, carpets in bedroom
  • Maintain humidity <50%
🏭Occupational Asthma
  • Most important intervention: identify and remove the causative exposure
  • Common causes: isocyanates (spray painting), flour dust, latex, wood dust, laboratory animals, soldering flux
  • Serial PEFR monitoring at work vs away from work
  • Specific inhalation challenge (gold standard)
  • Compensation and job change may be necessary
  • Even with removal, airway changes may persist — continue ICS
🚭Smoking Cessation & Exercise
Smoking Cessation
  • Smoking accelerates lung function decline and worsens asthma control
  • Reduces ICS effectiveness significantly
  • Offer NRT, varenicline, counselling at every contact
  • Passive smoking harmful — advise smoke-free home
Exercise-Induced Bronchospasm (EIB)
  • Pre-exercise SABA 15–20 min before activity
  • Regular ICS reduces EIB frequency
  • LTRA (montelukast) as add-on for EIB
  • Warm-up period reduces severity
  • Swimming — humid air, less EIB-triggering
🌍GCC-Specific Asthma Context
Prevalence & Epidemiology
  • GCC has some of the highest asthma prevalence globally
  • Saudi Arabia: up to 25% prevalence in some surveys
  • UAE, Qatar, Kuwait: 15–20% prevalence reported
  • Rapidly urbanising environment accelerating atopic disease
Environmental Triggers Unique to GCC
  • Sandstorms (Haboob / Khamsin) — PM10 particles trigger acute severe asthma; emergency visits spike during storm events
  • Dust & desert aerosols — year-round low-level particulate exposure
  • Air conditioning paradox — AC systems harbour mould, dust mite, indoor allergens; poor maintenance is risk factor
  • Coastal high humidity (UAE, Bahrain, Qatar) — promotes mould growth and HDM proliferation
  • Extreme heat — outdoor exercise-induced asthma; heat accelerates ozone formation
Cultural & Social Factors
  • Waterpipe / Shisha smoking — widely prevalent in GCC; causes airway inflammation and can trigger/worsen asthma; educate as clearly as cigarette smoking
  • Occupational asthma in construction — cement dust, silica, paint fumes; large migrant workforce at risk
  • Traditional remedies — may delay seeking care; encourage evidence-based treatment
  • Family clustering — atopic family history; opportunistic screening of siblings
Ramadan Fasting & Inhalers
Key Teaching Point
  • Scholarly consensus: Inhalers do NOT break the fast — medication goes to lungs (respiratory tract), not GI tract
  • Patients should continue preventer and reliever inhalers throughout Ramadan without hesitation
  • Some patients may prefer nebuliser — religiously acceptable and clinically effective
  • Advise timing of doses (pre-Suhoor / post-Iftar) for twice-daily medications
  • Monitor for potential dehydration (dry airway mucosa)
🏛️DHA / DOH / SCFHS Regulatory & Formulary Context
DHA (Dubai Health Authority)
  • DHA Essential Medicines List includes: salbutamol, ipratropium, ICS (beclometasone, fluticasone, budesonide), ICS/LABA (seretide, symbicort), prednisolone, IV magnesium sulphate
  • Biologics (omalizumab, mepolizumab, dupilumab) on DHA formulary with specialist justification
  • DHA Asthma Management Protocol aligned with GINA 2023
  • Nurses may perform nebuliser therapy under DHA standing orders
  • Asthma nurse specialist role recognised by DHA
DOH (Abu Dhabi Department of Health)
  • DOH asthma clinical pathway mandates written PAAP for all asthma patients
  • Annual asthma review with spirometry recommended
  • Biologics require Prior Authorization from DOH
SCFHS (Saudi Commission)
  • SCFHS nursing exams test BTS/SIGN classification, acute management, and GINA stepwise therapy
  • Saudi MoH guidelines aligned with GINA 2023
  • Prometric exam: acute severe criteria, magnesium dose, oxygen targets commonly tested
📝GCC / SCFHS / DHA Exam High-Yield Summary
BTS Severity — Must Know Numbers
  • Moderate: PEFR 50–75%
  • Severe: PEFR 33–50% + any clinical feature
  • Life-threatening: PEFR <33% or SpO₂ <92% or silent chest
  • Near-fatal: PaCO₂ >6 kPa / IPPV needed
  • O₂ target: 94–98%
Magnesium Sulphate
  • Dose: 2g IV over 20 minutes
  • Indication: severe or life-threatening not responding
  • Mechanism: smooth muscle relaxation (Ca²⁺ antagonism)
Action Plan Zones (Exam Favourite)
  • Green: 80–100% PEFR — continue as normal
  • Amber: 50–79% — increase reliever, consider OCS
  • Red: <50% — emergency / call ambulance
ICS Key Nursing Points
  • Rinse mouth after ICS — prevent candidiasis
  • Regular daily use — not PRN
  • Takes 2–4 weeks for full effect
Ventilation in Asthma ICU
  • Permissive hypercapnia strategy
  • Low RR (10–12), low PEEP, long expiratory time
  • Avoid breath stacking → pneumothorax