When the patient can't breathe, and you can't think

  1. 0 December 14th, 2011
    Emergency Medicine Updates

    When the patient can't breathe, and you can't think: The emergency department life-threatening asthma flowsheet

    Life-threatening asthma is uncommon and difficult to study; we may never have better evidence and it's 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.
  2. Visit  NRSKarenRN profile page

    About NRSKarenRN, BSN, RN

    NRSKarenRN has '35+' year(s) of experience and specializes in 'Home Care, VentsTelemetry, Home infusion'. From 'RN Spirit from Philly Burb'; Joined Oct '00; Posts: 26,688; Likes: 12,611.

    1 Comments so far...

  3. Visit  medicmatt44 profile page
    0
    I 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.


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