Jump to content

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

Emergency   (2,155 Views 2 Comments)

NRSKarenRN has 40 years experience as a BSN, RN and specializes in Vents, Telemetry, Home Care, Home infusion.

5 Followers; 10 Articles; 161,061 Profile Views; 14,606 Posts

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.

Share this post


Link to post
Share on other sites

27 Posts; 3,017 Profile Views

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.

Share this post


Link to post
Share on other sites
×