Bronchoconstriction Medical Directive Flashcards
What are the indications for the bronchoconstriction medical directive?
Respiratory distress
and
Suspected bronchoconstriction
What are the conditions for administering salbutamol?
There are no conditions that need to be present
What are the conditions for administering epinephrine?
BVM ventilation is required
Hx of asthma
What are the conditions for administering dexamethasone?
Hx of asthma
or
COPD
or
20 pack-year history of smoking
What are contraindications of salbutamol administration?
Allergy or sensitivity to salbutamol
What are contraindications of epinephrine administration?
Allergy of sensitivity to salbutamol
What are contraindications of dexamethasone administration?
Allergy or sensitivity to steroids
Currently on PO or parenteral steroids
When administering salbutamol to a pt < 25 kg via MDI what is the
dose,
interval and
max number of doses?
Up to 600 mcg
5-15 minutes PRN
3
When administering salbutamol to a pt < 25 kg via a nebulizer what is the
dose,
interval and
max number of doses?
2.5 mg
5-15 min PRN
3
When administering salbutamol to a pt ≥ 25 kg via MDI what is the
dose,
interval and
max number of doses?
800 mcg
5-15 minutes PRN
3
When administering salbutamol to a pt ≥ 25 kg via nebulizer what is the
dose,
interval and
max number of doses?
5 mg
5-15 minutes PRN
3
When administering epinephrine what is the
route
concentration
dose
max single dose
interval
max number of doses
IM
1 mg/ml = 1:1,000
0.01mg/kg
0.5 mg
N/A
1
When administering dexamethasone what is the
route
dose
max single dose
dosing interval
max number of doses
PO/IM/IV
0.5 mg/kg
8 mg
N/A
1
If a patient presents as apneic due to bronchoconstriction what should the treatment look like?
epi
salbutamol MDI via BVM MDI adapter
What is the proper way to administer salbutamol MDI
1 spray (100 mcg) every 4 breaths using a spacer
