Salubutamol Flashcards
inclusions for salbu
MPOC or asmathic pt. with increased dyspnea OR (1 of the 4) with dyspnea -cynanose -tirage -wheezing -SPO2 lower than 92%
exclusions for salbu
trauma,
OVR
allergie au salbu
route for salbu
inh
rep. rate for salbu
q.10 mins
max rep for salbu
max of 3 doses
therapeutic effect
It will open the airways of the pt. and allow him to breath better
side effects
nausée, vomissement, tachy, headache, nervousness.
salbu dosage
0-1 yo: 1,25 mg
less than 25kg: 2.50mg
over 25kg: 5mg
what is SUPER important when giving salbu?
THE MASK!!
what is MED8?
difficulté respiratoire
if with salbu, SPO2 is still under 92% what do you do?
once in the ambulance, put a 4L nasal cannula
how much O2 do you give with salbu?
6L
what is dyspnea?
difficult or laboured breathing
other name for salbu?
ventolin, albuterol
Do you do a 12Lead with salbu?
no but if the pt. is over 65 and the dyspnea is suddent and innexpliqué, then YES.
when you have t give salbu AND do a 12Lead, what is the proper sequencing?
do both simultaneously!
if pt. is tachypnic bcs of anxiety, do you give salbu?
can’t prove it as EMS so yes
if obstruction is gone can you give salbu?
yes
why put a mask when giving salbu?
pour éviter ue contamination bactérienne dues au goutelettes que le médicament créé.
à combien doit-on amener la SAT si on prévoit un manque de ventilation pour le déplacement?
supérieur a 96% CESSER déplacement si SAT atteint 92-93% pour éviter de se rendre a 90% ou moins!
Sur quel récepteur le Salbu fonctionne? et que ce passe-t-il quand il est stimulé ou bloqué?
B2-adrénergiques
Stimulé:relache
bloqué:contracte
comment se manifeste un bronchospasme?
une sensation de dyspnée
Quelle est la FR des:
adulte(+que8);
enfant (entre 1 et 8 ans);
et bébé (moins de 1 an).
adulte: 12à20
enfant:20à30
bébé:30à40
if pt took salbu pump before you got there…. it has been more than 5 mins… what do you do and why?
give yours as the dose is so small in the pump that 5 mins is enough to evaluate if it worked or not on the pt……. so give our BIGER dose ASAP!
(Source:programme admin de meds 2008, p.102)