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This is a discussion on When the patient canít breathe, and you canít think in Emergency Nursing, part of Nursing Specialties ... December 14th, 2011 Emergency Medicine Updates When the patient canít breathe, and you canít...by NRSKarenRN Admin Dec 22, '12December 14th, 2011
Emergency Medicine Updates
When the patient canít breathe, and you canít think: The emergency department life-threatening asthma flowsheet
Life-threatening asthma is uncommon and difficult to study; we may never have better evidence and itís time to add ketamine to the kitchen sink. This flowsheet incorporates ketamine into a stepwise approach to the severe asthmatic for the emergency clinician who may not remember drip rates and vent settings when her own heart rate is 140.
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- Jan 3 by medicmatt44I would like to add that the authors of this algorithm have erroneously replaced continuous nebulization using a continuous nebilizer with continuous nebulization using a standard nebulizer set up.
1) A continuous nebulizer is different than a standard nebulizer. A precise dose and flow rate are required.
2) One could use a standard nebulizer, but modifications to the nebulizer set up are warranted.
Additionally, the algorithm omits the administration of Heliox and inhaled corticosteroids such as Decadron.