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The pathway specifies inclusion and exclusion criteria, triage timing targets using CTAS levels, and stepwise emergency treatment recommendations. It includes medication guidelines, physician orders by severity, discharge instructions, patient education checklist, medical directive structure, and reference supporting documents.",{"@graph":69,"@context":114},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/adult-emergency-department-asthma-care-pathway-edacp-june-2018/506484/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/adult-emergency-department-asthma-care-pathway-edacp-june-2018/506484.png","ImageObject",300,407,{"name":92,"@type":93},"cryingin4k","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-10","2026-10-05",true,{"@type":102,"interactionType":103,"userInteractionCount":34},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108],{"name":109,"@type":110,"acceptedAnswer":111},"What core emergency treatments are recommended for standard asthma management?","Question",{"text":112,"@type":113},"Standard treatment includes supplemental oxygen to maintain SpO2 at 92% or more, bronchodilators using beta2-agonist inhaled salbutamol, adjunct anticholinergic therapy when indicated, and systemic corticosteroids such as prednisone or methylprednisolone (or hydrocortisone when needed).","Answer","https://schema.org",{"og:url":83,"og:type":116,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":118,"canonical":83},"index,follow",{"doc_id":120,"site_id":62},506484,1791495794,{"code":4,"msg":5,"data":123},{"doc_id":120,"user_id":124,"nickname":92,"user_avatar":125,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":126,"file_id":127,"file_url":128,"file_type":129,"file_size":130,"view_count":34,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":131,"language":132,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":133,"faqs":134,"seo_title":135,"seo_description":67,"update_tm":136,"read_time":137,"preview_page_count":4},137458181193,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","Adult Emergency Department Asthma Care Pathway (EDACP)  \nJune, 2018  \nContact Information  \nEmail: [info@lunghealth.ca](info@lunghealth.ca)  \nPhone: 1-888-344-LUNG (5864)  \nFax: 416-922-9430  \nOntario Lung Association is a registered charity operating as the Lung Health Foundation  \nAdult Emergency Department Asthma Care Pathway  \nInstructions………………………………………………………………………………………… 3  \nMedication Guidelines……………………………………………………………………………. 4  \nPhysician’s Orders – Mild, Moderate, Severe Asthma……………………………………….. 5  \nPhysician’s Orders – Potentially Life Threatening Asthma…………………………………… 6  \nPatient Discharge Instructions…………………………………………………………………... 7  \nPatient Education Checklist……………………………………………………………………… 9  \nMedical Directive………………………………………………………………………………….. 10  \nReferences…………………………………………………………………………………………. 14  \n\n|  | EMERGENCY DEPARTMENT\u003Cbr>ASTHMA CARE PATHWAY\u003Cbr>ADULT: 16 years and over |\n| --- | --- |\n| Indications: Age 16 years or older with one of the following: history of asthma; or previous episode of wheezing requiring treatment; or asthma and pregnancy; or COPD with asthma\u003Cbr>Contraindications: COPD without asthma; or CHF; or ED visit for prescription refill only |  |\n\nIntroduction  \n1. This is a proactive tool that provides considerations for asthma management based on Canadian Association of Emergency Physicians’ (CAEP) Asthma Guidelines (1996), the 2017 Asthma Management Continuum Children (6 years and over), Adolescents and Adults and other evidence from subsequent publications.  \n2. This pathway should be attached to the hospital’s standard triage form once inclusion criteria are met.  \nED Adult Asthma-Quality Assurance Guidelines:  \nCTAS Level 3: Nurse Assessment: less than 30 minutes; 1st Bronchodilator: less than 30 minutes; MD Assessment: less than 30 minutes  \nCTAS Level 2: Nurse Assessment: immediate; 1st Bronchodilator: less than 10 minutes;  \nMD Assessment: less than 15 minutes  \nCTAS Level 1: Nurse Assessment: immediate; 1st Bronchodilator: immediate;  \nMD Assessment: immediate  \n*Canadian Triage and Acuity Scale (CTAS) “Times to Assessment” are operating objectives, not standards of care. Facilities without on-site physician coverage may meet assessment objectives using delegated protocols and remote communication.  \nDisclaimer:  \nThis Clinical Pathway is not intended to set the standard of care applicable in any particular clinical situation. It is merely prepared as a guide to assist physicians, nurses, respiratory therapists and other healthcare providers, in deciding on the appropriate care required for a particular patient. At all times, physicians, nurses, respiratory therapists and other healthcare providers must exercise their independent clinical judgment, based on their knowledge, training and experience, taking into account the specific facts and circumstances of each patient, when deciding on the appropriate course of investigation and/or treatment to recommend in a particular clinical situation. Any reference throughout the document to specific pharmaceutical products as examples does not imply endorsement of any of these products.  \nINSTRUCTIONS:  \n1. Triage to determine patient eligibility for clinical pathway.  \n2. Nurse/RT to begin Adult ED Asthma Care Pathway Medical Directive OR  \nPhysician to choose order set according to asthma severity (page 1 or 2 of “Physician’s Orders”)  \n3. Refer to medication guidelines on physician orders for more information.  \n4. Physician/Nurse Practitioner to fill out and sign “Discharge Instructions”  \n5. Physician/Nurse/RT to review “Education Checklist” and “Discharge Instructions” with patient  \nThis care pathway was developed with input from and has been endorsed by:  \nMedication Guidelines for Emergency Management of Adult Asthma  \n\n| STANDARD EMERGENCY DEPARTMENT TREATMENT\u003Cbr>Supplemental oxygen to keep SpO2 92% or more Bronchodilators\u003Cbr>beta2-agonist (inhaled salbutamol); first line therapy – titrate to response\u003Cbr>􀂃 MDI + spacer (100 mcg/puff): 4–8 puff","cbCaiuCD4XrLzkJJ","https://ap.wps.com/l/cbCaiuCD4XrLzkJJ","pdf",2191844,14,"English","# Instructions\n## Medication Guidelines\n## Physician’s Orders – Mild, Moderate, Severe Asthma\n## Physician’s Orders – Potentially Life Threatening Asthma\n## Patient Discharge Instructions\n## Patient Education Checklist\n## Medical Directive\n## References","[{\"question\":\"What core emergency treatments are recommended for standard asthma management?\",\"answer\":\"Standard treatment includes supplemental oxygen to maintain SpO2 at 92% or more, bronchodilators using beta2-agonist inhaled salbutamol, adjunct anticholinergic therapy when indicated, and systemic corticosteroids such as prednisone or methylprednisolone (or hydrocortisone when needed).\"}]","Adult Emergency Department Asthma Care Pathway (EDACP) - June 2018 | PDF",1791165659,35]