in an acute setting, the approach is different. we use nebulisers
of salbutamol, bedesonide (a steroid) and
ipratropium (anti cholinergic). we can also administer inhaled adrenaline should the need arise. in these emergency sitations we can administer IV drugs such as antihistamines, steroids, aminophylline and magnesium. if all that fails, we move onto intubation and ventilation.
in exercise induced asthma, although the aetiology is slightly different is responds to the same medications.