Respiratory Flashcards
What is the desired treatment for an adult pt with mild-moderate Asthma?
Salbutamol pMDI and spacer, 4-12 doses @20/60 intervals. 4 breaths between each dose.
What is the desired treatment for an adult pt with severe Asthma?
- Salbutamol 10 mg (5 mL) and Ipratropium Bromide 500 mcg (2 mL) nebulised.
- Repeat neb Salbutamol 5 mg (2.5 mL) 5/60 if required
- Dexamethasone 8 mg IV/Oral
What is the interval for repeat doses of Salbutamol pMDI?
20/60
What is the interval for repeat doses of nebulised Salbutamol?
5/60
What is the desired treatment for an adult asthmatic pt with inadequate response to Severe Mx?
- Adrenaline 500 mcg IM, repeating at 5-10/60, to a max of 1.5 mg
- If no response to IM adrenaline, Clinician consult for IV Adrenaline 20 mcg @2/60 intervals
What is the desired treatment for an adult asthmatic pt who is unconscious with a cardiac output?
- Ventilate 6-7 mL/kg @5-8 ventilations/min
- Allowing for prolonged expiratory phase
What is the desired treatment for an adult asthmatic pt with no cardiac output?
- Apnoea for 1/60, prepare for potential resuscitation
- If CO returns, manage as per unconscious
- If no return, manage pas per cardiac arrest
What is the desired treatment for an adult pt with an exacerbation of COPD?
- Salbutamol 10 mg & Ipratropium Bromide 500 mcg nebulised
- Dexamethasone 8 mg IV/Oral
What is the target SpO2 for a pt with COPD?
88 - 92%
What are the indications for the removal of prehospital CPAP?
- Cardiac/respiratory arrest
- Mask intolerance/agitation
- Nil improvement after 1/24
- HR <50, SBP <90
- GCS <13
- Decreasing SpO2
- Loss of airway control
- Copious secretions
- Active vomiting
- Paramedic judgement of clinical deterioration
What are the contraindications for CPAP?
- GCS <13
- Active vomiting
- Secure airway required
- Hypoventilation
- Facial trauma
- Arrythmias (life threat)
- Pneumothorax
What is the precaution for CPAP?
Hypotension
What is the first thing to do when with a pt with UAO?
Request MICA
