Asthma: Critical

Question 1

Asthma: Critical - Treatment Priorities

Critical: altered conscious state, maximal WOB, unable to talk, marked tachycardia

Answer 1

• Salbutamol nebulised:
  
  • AD/PD: Salbutamol 10mg neb, repeat 5mg @ 5/60
• Ipratroprium Bromide (Atrovent) nebulised:
  
  • AD: Atrovent 500mcg neb, once only
  • PD: Atrovent 250mcg neb, once only
• Adrenaline:
  
  • AD: Adrenaline 500mcg IM, repeat @5-10/60, max 1.5mg
  • PD: Adrenaline 10mcg/kg IM, repeat @5-10/60, max 30mcg/kg