Airway And Breathing Flashcards
Bronchoconstriction
What are the conditions for epi
Bvm ventilation
Hx of asthma
Bronchoconstriction
What are the conditions for dexamethasone
Hx of asthma/COPD/20pack smoking hx
Bronchoconstriction
What is the only contraindications for salbutamol and epi
Allergy
Bronchoconstriction
What are the 2 contraindications for dexamethasone?
Allergy and currently on PO steroids
Bronchoconstriction
What is the treatment for salbutamol for <25kg
NEB: 2.mg, 5-15min intervals, 3x
MDI: 600mcg (6 puffs), 5-15 min intervals, 3x
Bronchoconstriction
What is the treatment of salbutamol for pts >25kg
NEB: 5mg, 5-15min intervals, 3x
MDI: 800mcg (8 puffs), 5-15 min intervals, 3x
Bronchoconstriction
What is the treatment of epi?
1:1,000
IM
0.01mg/kg
MAX 0.5mg
1x
Bronchoconstriction
What is the treatment of dexamethasone?
PO/IV/IM
0.5mg/kg
MAX 8mg
1x
Allergic Reaction
What is the conditions for epi
Anaphylaxis use only
Allergic reaction
What is the condition for diphenhydramine
> 25kg
Allergic reaction
What is the only contraindication for epi and dimenhydramine
Allergy
Allergic reaction
What is the treatment of epi
1:1,000
IM
0.01mg/kg
MAX 0.5mg
Minimum 5 min interval
2x
Allergic reaction
What is the treatment use dimenhydramine
> 25kg-50kg >50kg
IV/IM IV/IM
25mg 50mg
1x 1x
CPAP
What are the conditions for cpap
18 years+, tachypnea, normotensive, SpO2 <90% accessory muscle use
CPAP
What are the 7 contraindications for cpap
- Inability to sit up right
- Unable to cooperate
- Suspected pneumothorax
- Asthma exacerbation
- Trauma or burns to the head or torso
- Tracheostomy
- Unstable airway
Superglottic Airway
What is the condition of a sga
Absent gag reflex
SGA
What are the 4 contraindications
- Caustic ingestion
- Trauma to the Oropharynx
- Foreign body airway obstruction
- Esophageal varices
Croup
What are the indications
Hx of URTI
Barking cough or hx of barking cough
Croup
What is the condition for epi
> 6 months - 8 years, <200bpm, stridor at rest
Croup
What are the conditions for dexamethasone
> 6 months - 8 years, unaltered, for mild to severe croup
Croup
What is the contraindication for epi
Allergy
Croup
What are the contraindications for dexamethasone
Allergy, steroid use in the last 48hrs, unable to tolerate oral medication
Croup
What is the treatment for epi
NEB. NEB
<10kg >10kg
2.5mg 5mg
1x 1x
Croup
What is the treatment for dexamethasone?
> 6 months - 8 years
PO
0.5mg/kg
MAX 8mg
1x