Asthma and similar respiratory conditions

Question 1

Mild/moderate adult

Answer 1

Salbutamol pMDI 4-12 doses
20 min intervals
4 breaths per dose

Question 2

Severe adult

Answer 2

Salbutamol 10mg nebulised
repeat 5mg at 5 min intervals if required
Ipatropium bromide 500mcg nebulised
Dexamethasome 8mg IV or oral

Question 3

Severe adult inadequate response

Answer 3

Adrenaline 500mcg IM
Repeat 500mcg at 5-10 min intervals (max 1.5mg)

Question 4

Unconscious adult

Answer 4

5-8 ventilations per minute

Question 5

Loss of cardiac output

Answer 5

1 minute of apnoea

Question 6

COPD exacerbation

Answer 6

Salbutamol 10mg + Ipatropium bromide 500mcg nebulised
Dexamethasone 8mg IV or oral

Question 7

Mild or moderate 2-5 years

Answer 7

Salbutamol pMDI 2-6 doses
4 breaths per dose
Repeat at 20 minute intervals if required

Question 8

Mild or moderate >5 years

Answer 8

Salbutamol pMDI 4-12 doses
4 breaths per dose
Repeat at 20 min intervals if required

Question 9

Severe small child

Answer 9

Salbutamol 2.5mg nebulised (+ saline =5mL)
Ipatropium bromide 250mcg nebulised

Question 10

Severe medium child

Answer 10

Salbutamol 2.5-5mg (+ saline = 5mL) nebulised
Repeat at 20 minute intervals if required
Ipatropium bromide 250mcg nebulised

Question 11

Critical paediatric

Answer 11

Salbutamol 10mg nebulised
Repeat at 5 min intervals if required
Ipatropium bromide 250mcg nebulised
Adrenaline 10mcg/kg IM
Repeat at 5-10min intervals as required (max 30mcg/kg)
Dexamethasone 600mcg/kg oral (max 12mg)

Question 12

Unconscious small child

Answer 12

12-15 ventilations per minute

Question 13

Unconscious medium child

Answer 13

10-14 ventilations per minute

Question 14

Loss of cardiac output paediatric

Answer 14

Apnoea 30 seconds
Gentle lateral chest pressure

Question 15

Moderate croup

Answer 15

Dexamethasone 600mcg/kg oral (max 12mg)

Question 16

Severe croup

Answer 16

Adrenaline 5mg nebulised
Repeat at 5 min intervals if no improvement
Dexamethasone 600mcg/kg (max 12mg)