Respiratory Flashcards
1
Q
Asthma
A
Mild- moderate:
pMDI 4-12 doses @ 20/60 until resolved
4 breaths per dose.
Severe or no improvement after 20/60:
Salbutamol 10mg neb and Ipatropium Bromide 500mcg neb
- Repeat Salbutamol 5mg neb 5/60
- dexamethesone 8mg IV/oral
Inadequate response:
Adrenaline 500mcg IM (1:1000)
Repeat 500mcg IM 5/60 Max 1.5mg
Unconscious
Ventilate 5-8 ventilations minute
Loss of cardiac output
1/60 apnea
Exclude TPT
If pulse doesn’t return mx as arrest
2
Q
COPD
A
Salbutamol 10mg neb and 500mcg Ipatropium Bromide neb (once only)
Consider low flow 02
Spo2 88-92%
Dexamethasone 8mg oral/IV
3
Q
Upper airway obstruction
A
Conscious patient
- encourage to cough
- 5 back blows
- 5 chest thrusts
- alternate above options and monitor for deformation
Unconscious patient
- laryngoscope and Magills
- if obstruction remains- chest compression
- if loss of cardiac output tx as arrest
All other strider
- adrenaline 5mg nebulised
- consult for repeat doses
- notify hospital
- Dexamethasone 8mg IV/oral
