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若生命徵象不穩定，先穩定Vital signs，聯絡ICU，給SABA和O2，準備插管
若生命徵象穩定：評估嚴重程度，分成重度及輕中度
只能講字、激動、RR>30、PR>120、O2<90%
給SABA、SAMA、全身性類固醇、氧氣(血氧目標在93-95%)
可以考慮給IV Magnesium、高劑量吸入性類固醇
還可以講一小段話、PR 100-120、O2 90-95%
給SABA、口服類固醇(1mg/kg)、氧氣(血氧目標在93-95%) 可以考慮給SAMA
GINA Guideline 2018