Asthma, COPD, RAD

Question 1

Asthma, COPD, RAD Protocol

Answer 1

O2
MDI (if needed)
CPAP

EPI (IM)
DuoNeb
BiPap

Levalbuterol
Dexamethasone (10mg)
Methylprednisolone (Solumedrol) (125mg)
…if impending failure
EPI
Mag (2g in 100mL over 10 min)

Question 2

Asthma, COPD, RAD Protocol Pearls

Answer 2

• careful with EPI and cardiac issues
• COPD = chronic bronchitis, emphysema
• RAD = reversible due to narrowing due to external stimulation
• be aware of silent chest. severe bronchospasm with impending respiratory failure

Question 3

Asthma - Pediatric

Answer 3

• O2
• Clear mucus from airway
• EPI
• DuoNeb
• CPAP
• Dexamethasone (0.6mg/kg) - all methods
• Methylprednisolone (2mg/kg) - all methods
• Mag (40mg/kg in 100mL)

Question 4

Bronchiolitis - Pediatric

Answer 4

• Nebulized racemic epinephrine 0.5mL in 3mL
• Nebulized epinephrine, 5mg of 1 mg/ml (1:1,000)

Question 5

Croup - Pediatric

Answer 5

• Dexamethasone (0.6mg/kg)
• Nebulized racemic epinephrine 0.5mL in 3mL
• Nebulized epinephrine, 5mg of 1 mg/ml (1:1,000)