Bronchoconstriction Medical Directive Flashcards
Bronchoconstriction MD
What are the indications for the bronchoconstriction MD?
Respiratory distress;
AND
Suspected bronchoconstriction.
Bronchoconstriction MD
What are the conditions for salbutamol administration?
N/A all through.
Bronchoconstriction MD
What are the conditions for Epi administration?
RR: BVM ventilation required
Other: Hx of asthma.
Bronchoconstriction MD
What are the conditions for dexamethasone administration?
Other: Hx of asthma OR
COPD
OR
20 pack-year history of smoking.
Bronchoconstriction MD
What are the contraindications to salbutamol administration?
Allergy or sensitivity to salbutamol.
Bronchoconstriction MD
What are the contraindications to Epi administration?
Allergy or sensitivity to Epi.
Bronchoconstriction MD
What are the contraindications to dexamethasone administration?
Allergy or sensitivity to dexamethasone.
Currently on PO or parenteral steroids.
Bronchoconstriction MD
What is the MDI dosing for patients <25 kg?
Dose: Up to 600 mcg (6 puffs)
Dosing interval: 5-15 minutes PRN
Max # of doses: 3
Bronchoconstriction MD
What is the NEB dosing for patients <25 kg?
Dose: 2.5 mg
Dosing interval: 5-15 min PRN
Max # of doses: 3
Bronchoconstriction MD
What is the MDI dosing for patients ≥25 kg?
Dose: Up to 800 mcg (8 puffs)
Dosing interval: 5-15 minutes PRN
Max # of doses: 3
Bronchoconstriction MD
What is the NEB dosing for patients ≥25 kg?
Dose: 5 mg
Dosing interval: 5-15 minutes PRN
Max # of doses: 3
Bronchoconstriction MD
What is the dosing for Epi?
Route: IM
Concentration: 1 mg/ml = 1:1000
Dose: 0.01 mg/kg
Max single dose: 0.5 mg
Dosing interval: N/A
Max # of doses:1
Epi dose may be rounded to the nearest 0.05 mg.
Bronchoconstriction MD
What is the dosing for dexamethasone?
Route: PO/IM/IV
Dose: 0.5 mg/kg
Max single dose: 8 mg
Dosing interval: N/A
Max # of doses: 1
Bronchoconstriction MD
What should be the first medication administered if the patient is apneic?
Epi
Bronchoconstriction MD
When is nebulization contraindicated?
In patients with a known or suspected fever or in the setting of a declared febrile respiratory illness outbreak by the local medical officer of health.
