Respiratory Distress Protocol

Question 1

Dosage of albuterol for respiratory distress.

Answer 1

2.5 mg in 3 mL NS

Question 2

Dosage of ipratropium for respiratory distress

Answer 2

0.5 mg

Question 3

Class of albuterol

Answer 3

sympathomimetic. Acts on alpha (vasoconstriction), beta-1 (increased heart rate/contractility), and beta-2 receptors (bronchodilation).

Question 4

Class of ipratropium

Answer 4

Anti-cholinergic. Acts on PNS to decrease secretions and bronchodilate.*

Specifically, it blocks m-ACh-R, increasing intracellular cGMP. This prevents Ca2+ influx, and therefore, prevents bronchiolar smooth muscle contraction.

Question 5

Status asthmaticus treatment

Answer 5

0.3 mg IM 1:1000 epinpehrine

Question 6

Contraindications for IM epi

Answer 6

Pt > 40 YO, irregular heart rate, HR > 150 BPM, HTN/Heart disease

Contact Med Control

Question 7

Contraindications for CPAP

Answer 7

• SBP less than 90 mmHg
• Altered mental status
• Vomiting
• a penetrating chest trauma

Question 8

Steroid for respiratory distress

Answer 8

Methylprednisolone 125 mg IV

Question 9

Signs of CHF/Pulmonary Edema

Answer 9

• Frothy sputum
• Wet lung sounds
• Pedal edema
• distention of JVD

Question 10

Tx of suspected CHF also contains what vasoactive drug?

Answer 10

0.4 mg SL nitroglycerin (reduces pre-load through venodilation, and therefore reduces workload of heart)