Respiratory Management Flashcards
Work of breathing symptoms
Accessory muscles use, nasal flaring, tracheal tugging,
Neurological assessment
Check LOC for restlessness, confusion, combative behaviour
How do you give Dexamthasone
Orally
Exam neck for
JVD, tracheal deviation
Examine chest for
Accessory muscle use, indrawing, auscultation
Examine extremities for
Edema, skin tempurature
What meds can you give for bronchoconstriction
Salbutamol, epi and Dexamthasone
What meds can you give for Croup
Epi and Dexamthasone
How can you give salbutamol for bronchoconstriction
MDI or NEB
How do you give EPI for bronchoconstriction
IM
Route of Dexamthasone for bronchoconstriction
PO/IM/IV
Dose of Salbutamol for <25kg
MDI - 600mcg
NEB - 2.5mg
Dose of Salbutamol for >25mg
MDI - 800mcg
NEB - 5mg
Max number of doses of Salbutamol for bronchoconstriction
3
Does of EPI for bronchoconstriction and Max dose
0.01mg/kg
Max 0.5mg
Dose of Dexamthasone for bronchoconstriction and Max
0.5mg/kg
Max of 8mg
How to estimate child’s age in kg
2 x age + 10
If patient is apneic what medication do you give first
EPI
When is nebulization contraindicated
When patient has fever because there is another option available for salbutamol, MDI
What meds can you give for Croup
Epi and Dexamthasone
What age are the meds for in the croup medical directive
> 6 months to <8 years
Conditions to give Epi for Croup
HR less than 200bpm and stridor at rest
How do you give Epi for Croup
NEB
Dose of EPI for Croup if the pt is <10kg
2.5mg
Dose of EPI for Croup if the pt is >10kg
5mg
Dose of Dexamethasone for Croup and MAX dose
0.5mg/kg up to 8mg
11 year old Patient is presenting with bronchoconstriction, what is their dose of meds
Salbutamol - 800mcg MDI or 5mg NEB
EPI - 0.30mg
Dex - 8mg
3 year old patient is presenting with bronchoconstriction what dose and what meds would you give
salbutamol - 600mcg MDI or 2.5mg NEB
EPi - 0.15mg
Dex - 8mg
You have a 9kg patient presenting with Croup, what meds and doses would you give
Epi NEB - 2.5mg
Dex - 4.5mg
What is a anticholinergic
Works to prevent PSNS, most common is atrovent