Bronchoconstriction Medical Directive

Question 1

What medications do we give ?

Answer 1

salbutomal, epi, dexamethasone

Question 2

What contraindications are there for these medications?

Answer 2

allergy or sensitivity to any of them
currently on PO or parenteral steroids

Question 3

What are conditions for salbutamol?

Answer 3

N/A

Question 4

What are conditions for epinephrine?

Answer 4

BVM ventilation required
Hx of asthma

Question 5

What are conditions for dexamethasone?

Answer 5

Hx of asthma OR COPD or 20 pack history of smoking

Question 6

What are the doses for Ventolin: weight <25kg?

Answer 6

MDI- 6 puffs (600 mcg)
Max # of doses- 3
Dosing int.- 5-15 min PRN

NEB- 2.5mg
Max # of doses- 3
Dosing int. -5-15 min PRN

Question 7

What are the doses for Ventolin: weight >25kg?

Answer 7

MDI- 8 puffs (800 mcg)
Max # of doses- 3
Dosin int.- 5-15 min PRN

NEB- 5 mg
Max # of doses- 3
Dosing int. -5-15 min PRN

Question 8

If pt is apenic which is the first med that should be given??

Answer 8

EPINEPEHRINE

Question 9

What is contraindicated with NEB treatment?

Answer 9

FEVEEEER