Acute severe asthma in an adult

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Educational simulation. Not for real patient care and not a substitute for supervised training. Always follow local protocols.

What you will practise

Recognise the features of acute severe and life-threatening asthma in an adult.
Prioritise oxygen, repeated bronchodilators and early systemic corticosteroids.
Explain why a normal arterial carbon dioxide level in a breathless asthmatic is a warning sign.
Identify second-line treatments and triggers for critical care review.
Avoid harmful interventions such as sedation in acute asthma.
Plan safe discharge with inhaler review, written action plan and follow-up.

A patient with severe bradycardia and hypotension after a beta-blocker overdose does not respond to atropine. Which agent bypasses the blocked receptor and increases cAMP in cardiac cells?
Which calcium-channel blocker, when combined with a beta-blocker, carries the greatest risk of severe bradycardia and atrioventricular block?
A patient who took high-dose prednisolone for several months stops it abruptly and becomes hypotensive, weak and vomiting. What is the explanation?
Which of the following organs most typically develops a red (haemorrhagic) infarct after arterial occlusion?
Which finding in sputum is characteristic of asthma?