What is the primary concern when dealing with a patient experiencing severe asthma?

The primary concern for a patient experiencing severe asthma is respiratory distress and inadequate ventilation. In severe asthma attacks, the airways become significantly narrowed and inflamed, which impairs the ability to move air effectively in and out of the lungs. This can lead to a decrease in oxygen levels in the blood (hypoxemia) and can cause the patient's condition to deteriorate rapidly if not addressed promptly. The hallmark signs of severe asthma include wheezing, difficulty in speaking, use of accessory muscles for breathing, and often a decreased level of consciousness or confusion due to inadequate oxygenation.

When addressing the patient's airway and breathing, the focus must be on restoring adequate ventilation to ensure sufficient oxygen delivery to the body's tissues. Treatment may involve administering bronchodilators, corticosteroids, and possibly oxygen therapy, all aimed at alleviating the airway obstruction and improving respiratory function.