Treatment for Pediatric bronchospasm - page 2

I'm not sure if this in the literature or not (probably) and I haven't really studied it yet, but... If you have a 10kg kid with bronchospasm, what would you treatment be. I'm imagining, that in... Read More

  1. by   Law of Fives
    Originally posted by Tenesma
    low dose epinephrine is actually B2 selective to a certain degree
    Not according to my pharmacology text, but what do text writers know
  2. by   Tenesma
    law of fives: time for a new textbook
  3. by   Law of Fives
    Yea, that sounds like a good idea. Which one are you referring to? A page # would also help expidite the search for this b2 selectivity of epinephrine. A preliminary search for this selectivity has yielded me nothing, but my only source available to me is the world wide web, (all my texts are at home ). AND, as we all know, the web can be as reliable as overhearing a conversation in the bathroom so to speak, but I digress.
    Take it easy on me, I'm still learning, but very interested. Have a good day!
  4. by   pasgasser
    Acetylcholine is a bronchconstrictor so giving pre-op atropine or glycopyrolate decreases intra-op bronchospasm. These are effective IV, IM, or endotracheally.
  5. by   kids
    Quote from Brenna's Dad
    Terbutaline is an IV B2 agonist, is it not?

    Seems it's main use is keeping the bun in the oven though.
    Terbutaline (Brethine) is one of the first bronchiodilators (sorry, I don't feel like thinking about the spelling).
    It has been replaced with newer (better) meds and is now primarily used to stop PTL.

    My mom was severely asthmatic (with a strong emotional component) and had PTL . She credited Brethine for my existance.
  6. by   Brenna's Dad
    Isoproterenol, the quarternary atropine.
  7. by   pasgasser
    Isoproterenol is a beta agonist.
  8. by   Brenna's Dad
    Must have been tired... what i meant to say was Ipratropium.
  9. by   Diprivan/Vented
    Nitric oxide.
  10. by   Tenesma
    nitric oxide??? what does that have to do with anything?
  11. by   DustinRN
    Quote from Tenesma
    nitric oxide??? what does that have to do with anything?
    NO does help with hypoxia by limiting the lungs' vasoconstrictive response to hypoxia. I think it relaxes the vascular endothelium and dilates the pulmonary vessels.

    I do remember that long term NO therapy oxidizes iron and causes methemoglobinemia, which inhibits the blood's oxygen-carrying capacity.

    These are the only things I can remember about NO in regards to the respiratory system.
  12. by   Tenesma
    sorry about my response regarding nitric oxide... but in truth, you wouldn't use nitric oxide for bronchospasm.... but you would use Heliox...
  13. by   Brenna's Dad
    Heliox being less dense and therefore creating less resistance to flow.

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