Asthma / COPD Flashcards
Mild/Moderate Asthma (Adult)
Salbutamol PMDI and Spacer
4-12 doses @ 20/60 intervals
4 breaths per dose
Severe Asthma (Adult)
Salbutamol 10 mg and Ipratropim Bromide 500 mcg nebulised
- repeat Salbutamol 5 mg nebulised at 5/60 intervals
Dexamethasone 8mg IV / Oral
Inadequate response:
Adrenaline 500 mcg IM
- repeat 500 mcg IM @ 5 - 10 min intervals (max 1.5mg)
Mild/Moderate Asthma (paediatric)
Salbutamol PMDI and Spacer
2-5 years 2-6 doses
>= 6 years 4 - 12 doses
Repeat @ 20/60
4 breaths per dose
Severe Asthma (paediatric)
Salbutamol nebulised
Small child (2-4 years) 2.5mg
Medium child (5-11 years) 2.5 - 5mg
- repeat @ 20/60 if required
Ipratropium Bromide 250mcg nebulised
Critical Asthma (paediatric)
2-11y
Salbutamol 10mg (5ml) nebulised
- repeat @ 5/60 if required
Ipratropium Bromide 250mcg (1ml) nebulised
Adrenaline 10 mcg/kg IM
- repeat @ 5-10 min as required (max 30 mcg/kg)
Dexamethasone 600 mcg/kg IV/Oral (max 12 mg)
COPD treatment
Salbutamol 10 mg and Ipratropim Bromide 500 mcg nebulised
Dexamethasone 8mg IV / Oral
Titrate 02 flow to target Sp02 88-92%
If still inadequate after 10min
Non rebreather 10-15l
What is COPD
Chronic Obstructive Pulmonary Disease
Treatment for COPD
Salbutamol 10mg nebulise and Ipratroprium Bromide 500mcg nebulise
NO REPEAT
Dexametheosone 8mg (2ml) oral /IV
Titrate O2 SPO2 87-82%
2-6L/min
Nasal cannula
If adequate response to nebulise therapy in COPD you then will…
Titrate o2 to SpO2 88-92%
With slow flow rate of 2-6L/ min via nasal cannula
COPD- if inadequate response to nebulise therapy we must treat as …
Severe respritory and use non rebreathers 10-15L / min
Define asthma / and basic patho
A chronic condition with acute reversible exacerbations in which the bronchial airways of the lungs become swollen and narrow.
Caused by
- increase mucos production and plugging
- smooth muscle contractions
6 Triggers for asthma
Pet dander
Smoke
Dust/ mould
Pollen
Exercise
Cold air
6 s&s asthma
Wheeze
Dry Coughing
SOB
Increase RR
Chest tightness
Tripod position
