graph TD
A["喘息発作の猫が来院"] --> B{"呼吸困難、努力呼吸"}
B --> C["ストレス最小限 & 酸素化"]
C --> D{"意識レベル/吸入可能か?"}
D -->|"吸入可能/比較的安定"| E["Albuterol吸入 (2 puffs)"]
D -->|"吸入困難/重症時"| F["Terbutaline (0.01 mg/kg SC/IM)"]
E --> G["Dexamethasone SP (0.1-0.2 mg/kg IV/IM)"]
F --> G
G --> H{"臨床症状改善?"}
H -->|"YES"| I["安定化、モニタリング"]
H -->|"NO / チアノーゼ持続"| J["⚠️ 挿管と陽圧換気の検討 (最終判断)"]
I --> K["長期管理へ移行準備"]
J --> L["専門医への紹介/集中治療"]
style A fill:#DDF,stroke:#333,stroke-width:2px,color:#333
style B fill:#FFFACD,stroke:#FFD700,stroke-width:1px,color:#333
style C fill:#CFF,stroke:#00AAFF,stroke-width:1px,color:#333
style D fill:#FFFACD,stroke:#FFD700,stroke-width:1px,color:#333
style E fill:#F0FFF0,stroke:#3CB371,stroke-width:1px,color:#333
style F fill:#FFF0F5,stroke:#DC143C,stroke-width:1px,color:#333
style G fill:#E0FFFF,stroke:#4682B4,stroke-width:1px,color:#333
style H fill:#FFFACD,stroke:#FFD700,stroke-width:1px,color:#333
style I fill:#F0FFF0,stroke:#3CB371,stroke-width:1px,color:#333
style J fill:#FFDDDD,stroke:#CC0000,stroke-width:2px,color:#333
style K fill:#CFF,stroke:#00AAFF,stroke-width:1px,color:#333
style L fill:#FFDDDD,stroke:#CC0000,stroke-width:2px,color:#333