Respiratory Distress Flashcards
Every patient in respiratory distress from asthma/bronchospasm should receive what 4 immediate interventions?
- ABC’s Oxygen 100%
- Assisted Ventilations
- Monitor ETCO2
- 15 lead
What type of respiratory distress is described by mild wheezes and non-labored work of breathing?
Mild Distress
In mild respiratory distress, what is the dosage of albuterol and Atrovent that should be nebulized?
2.5 albuterol with 500 mcg atrovent
How often can an updraft be performed?
Every 5 minutes
In mild respiratory distress, what is the pediatric dosages for albuterol and Atrovent?
2.5 mg albuterol and 250 mcg atrovent
In the mild respiratory distress protocol, what drug is given after your updraft?
Terbutaline 0.25 mg SQ
In the respiratory distress protocol, what phase would be described by moderate audible wheezes, heavy work of breathing, and 2 to 3 word dyspnea?
Moderate distress
What dose of albuterol and Atrovent should be given to a patient in moderate distress?
5 mg albuterol and 500 mcg atrovent
What is the pediatric dose of albuterol and Atrovent given to a patient in moderate distress?
2.5 mg albuterol with 250 mcg atrovent
In the adults moderate respiratory distress protocol what treatment follows the administration of an updraft?
Possible Cpap followed by Terbutaline 0.25 mg SQ
In the adults moderate respiratory distress protocol, what treatment follows an updraft and terbutaline?
Mag Sulfate at 2 grams
Can pediatric patients ever be administered terbutaline?
No
In the pediatric moderate respiratory distress protocol, what treatment follows the administration of an updraft?
Mag Sulfate at 50 mg/kg
In both the adult and pedi moderate respiratory distress protocol, what drug and dosage of epinephrine 1 to 1000 should be used?
Adult- 0.3 mg IM
Pedi-.01 mg IM
What classification of respiratory distress is characterized by altered mental status, tripod position, accessory muscle use, and Peripheral cyanosis?
Major respiratory distress
What is the frontline medication used in both adult and pediatric major respiratory distress?
Epinephrine
Adult- 0.3 mg IM
Pedi- .01 mg IM
In major respiratory distress what other treatment should be used rapidly in coordination with epinephrine?
CPAP
In major respiratory distress if epinephrine and CPAP fail, what is the next step taken?
Intubate
Which respiratory infection is viral and presents with a barking seal cough?
Croup
If a patient has croup and strider at rest what medication should they be given?
Epinephrine 1:1000 1mg/2ml updraft
What respiratory infection is bacterial and presents with the drastic drooling?
Epiglottitis
What is the treatment plan for a patient with epiglottitis?
Calm the patient, blow by 02, and other supportive measures
If a patient with epiglottitis requires intubation, how many attempts will be allowed?
1 attempt
