Asthma challenge: assessment and management

  1. 0
    You are called to the emergency department to see a young woman with an acute exacerbation of asthma: she's had a nebuliser of salbutamol and is still struggling to breathe, using her accessory muscles and looking tired. What should you do next?

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  2. 6 Comments...

  3. 1
    Oxygen, stacked nebs, IV solumedrol, ABG, portable CXR.
    MomRN0913 likes this.
  4. 0
    Leave because I don't work in the ED!
  5. 0
    Mg drip. Intubate. Paralytics if really that bad.
  6. 0
    Homework question?
  7. 0
    Continuous albuterol, tele, oximter. ABG. When the abg looks bad and the patient looks bad, give them some time. When the abg starts to improve, that's when you intubate.
  8. 0
    Standard 3 back to backs, mag bolus, iv solumederol, sometimes fluid bolus to prevent hypotension from mag and then double strength or single strength continuous. Take care of this all the time Intubation is last resort and rarely seen, plus dont forget to check for allergies possible epi shot once in a blue moon

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