Asthma

Airway Breathing Oxygen 100% 1 Circulation Assist ventilations, prn Transport ASAP

Pediatrics

IV NS TKO Monitor: SpO2, cardiac rhythm

Resp distress ?
No

Yes

Over 12 years old ?

No

Albuterol and atrovent via nebulizer2

Yes Albuterol: 2.5 mg and atrovent: 0.5 mg.

Albuterol via nebulizer

2.5 mg in 2 cc NS 2

Consider epinephrine 1:1000 SQ

0.01 mg/kg up to 0.3 mg, may be repeated every 10 minutes up to 3 doses.

Reassess vital signs, SpO2, respiratory status Contact medical control if a problem or question arises

Document: Airway Breath sounds Skin color Vital signs, SpO2 Glasgow Coma Scale Cardiac rhythm Treatment Response to treatment

1 If COPD coexists titrate oxygen to maintain SpO2 >90%. 2 Albuterol: May repeat albuterol every 10 min. Discontinue use if patient develops chest pain or tachycardia increases.

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ASTHMA