Further investigation and monitoring | Right Decisions

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Asthma pathway (BTS, NICE, SIGN) [SIGN 244]
Managing acute asthma
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Management of acute asthma in adults
Further investigation and monitoring

Update your RDS mobile app to v4.7.2 to download toolkits even when website is down.

We are pleased to advise that deep linking capability, enabling users to directly download individual mobile toolkits, has now been released on the RDS mobile app. You will see that each toolkit has a small QR code icon in the header area beside the search icon – see screenshot below. Clicking on this icon will open up a window with a full-size QR code and the alternative of a short URL for sharing with users. Instructions are provided.

You may need to actively update to the latest release - RDS app version 4.7.1 - to see this improvement.

Updating to this latest version of the RDS app is also strongly recommended to get the full benefits of the new resilience arrangements – specifically, that if the RDS website should fail, you will still be able to download new mobile app toolkits. To check your current RDS version, click on the three dots bottom right of the RDS app screen. This takes you to a “More” page where you will see the version number. To install latest updates:

On iPhones – go to the Apple store, click on your profile icon top right, scroll down to see the apps waiting to be updated and update the RDS app.

On Android phones – these can vary, but try going to the Google Play store, click on your profile icon top right, click on “Manage apps and device”, select and update the RDS app.

Please get in touch with ann.wales3@nhs.scot with any questions.

This content is from the BTS/SIGN British guideline on the management of asthma (SIGN 158), 2019.

Measure and record PEF 15–30 minutes after starting treatment, and thereafter according to the response. Measure and record PEF before and after nebulised or inhaled β₂ agonist.
Record oxygen saturation by oximetry and maintain arterial SpO₂ at 94–98%.
Repeat measurements of blood gas tensions within one hour of starting treatment if:
- the initial PaO₂ is <8 kPa unless SpO₂ is >92%; or
- the initial PaCO₂ is normal or raised; or
- the patient’s condition deteriorates.

[BTS/SIGN 2019]

Measure them again if the patient’s condition has not improved by 4–6 hours.
Measure and record the heart rate.
Measure serum potassium and blood glucose concentrations.
Measure the serum theophylline concentration if aminophylline is continued for more than 24 hours (aim for a concentration of 10-20 mg/L or 55-110 micromol/L).

[BTS/SIGN 2019]