When the patient canít breathe, and you canít thinkRegister Today!
- by NRSKarenRN 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.
- 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.