Dr. George Piness, Los Angeles: Status asthmaticus or intractable asthma is an asthmatic condition that does not respond to the ordinary methods of treatment. The etiology is limited: (1) home medication, (2) overmedication and (3) lack of fluids and food. The first and most important therapy is the amount of fluids that patients should receive. Patients can take fluids by mouth, but it does not seem to answer the purpose; they should be given as much fluid as they will take by mouth. The use of fluids intravenously or subcutaneously is more effective. I doubt that any of us realize the amount of dehydration that occurs in the asthmatic person who has been in attack for several days or weeks. The large amounts that I advocate are based on the evidence of having measured and observed patients who have had this condition and the amount that they could
BLACK JH. THE TREATMENT OF ASTHMA: A Panel Discussion. JAMA. 1948;137(5):453–455. doi:10.1001/jama.1948.02890390031007
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