Asthma challenge: assessment and management

  1. 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?
  2. Visit sharifi9879 profile page

    About sharifi9879

    Joined: Aug '11; Posts: 59; Likes: 13
    Faculty member; from IR
    Specialty: 14 year(s) of experience in Critical care (coronary care)


  3. by   NeoPediRN
    Oxygen, stacked nebs, IV solumedrol, ABG, portable CXR.
  4. by   detroitdano
    Leave because I don't work in the ED!
  5. by   BacktoBasics
    Mg drip. Intubate. Paralytics if really that bad.
  6. by   umcRN
    Homework question?
  7. by   Darkfield
    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. by   picurn1972
    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