Differences between Cardiac Asthma and Bronchial asthma

 Cardiac Asthma

History for Cardiac disease 

Occurs after 2 hours after sleep 

Dyspnea before cough 

Frothy Pinkish Sputum 

Auscultation Crackles bilateral basal with inspiration

Bronchial Asthma 

History of Respiratory disease 

Occurs late at night 

Cough before Dyspnea

Little viscid mucoid sputum 

Auscultation wheezes with expiration

Bronchial Asthma Treatment

Patient Complain

Chest Allergy

Dyspnea 

Chest Wheezes

Examination 

Bilateral Diffuse Sibilant Rhonchi

Management

 Cocktail Solution composed of 

glucose or saline 250 cm plus aminophylline ampoule or Ventolin in Cardiac patients 

Bisolvon Ampoule  Plus Avil Ampoule 

if not improved 

Nebulizer Session every 6 hours 

farcolin 1cm

Saline 2 cm

Atrovent Amp 

If not Improved

Solucortif Ampoule 

If not Improved refer to Chest Specialist