1. In case of mild presence, inhalation of a short-acting bronchodilator (1-2 doses) is necessary . After stopping the attack, it is necessary to continue taking bronchodilators for 24-48 hours 3-4 times a day or to use aminophylline orally at 10-15 mg / kg per day.        

2. For the treatment of a moderate seizure, inhalation of a bronchodilator is necessary at 1-2 doses, aminophylline intravenously 5 mg / kg, if ineffective, glucocorticosteroids are prescribed (prednisolone 1-2 mg / kg). In the future, after stopping the attack, it is necessary to continue taking short-acting bronchodilators for 1-2 days with the transition to prolonged-acting bronchodilators and increasing the dose of basic anti-inflammatory therapy.    

3. In the treatment of a severe attack are used:    

– oxygen therapy;

– infusion therapy for the purpose of dehydration;

– intravenous administration of aminophylline 2.4% 5 mg / kg, with a gradual dose reduction to 0.6-0.8 mg / kg;

– parenteral administration of glucocorticosteroids at the rate of 2-10 mg / kg of prednisolone;

– / 3-2-agonists are used at the initial stages of an attack in 1 dose with an interval of 20 min through a spacer or nebulizer. However, with the development of status asthmaticus, the use of β-2-agonists is unreasonable, since in this condition, a deep blockade of β-adrenergic receptors is noted.

Non-drug therapy of bronchial asthma

Non-drug methods are not independent, but auxiliary methods in combination with basic treatment.

1. Physiotherapy:    

– electrophoresis on the chest with a solution of magnesium sulfate or potassium iodide; inductometry of the adrenal glands;

– amplipulse therapy;

– ultraviolet irradiation of the chest area;

– vacuum massage of the chest;

barotherapy, sauna therapy, speleotherapy, etc.

2. Therapeutic physical culture:    

– playing sports, walking, swimming;

– respiratory therapy: breathing training, training in conscious control of breathing, relaxation training; reflexology: acupuncture,    

electroacupuncture, acupressure.

3. Vitamin therapy.    

4. Psychotherapy.    

5. Sanatorium treatment.