Home | | Medicine Study Notes | Asthma - Emergency Management

Chapter: Medicine Study Notes : Emergency Management

Asthma - Emergency Management

Arrest Prevention: o Maximal O2 o Nebulised salbutamol (beware overdose -> tachycardia and VF/VT) or iv 5 mg/min up to 20 mg if necessary o IV hydrocortisone

Asthma

 

·        Arrest due to: bronchospasm (® asphyxia), tension pneumothorax (often bilateral), b agonists ® arrhythmias


·        Arrest Prevention:

o  Maximal O2 

o  Nebulised salbutamol (beware overdose ® tachycardia and VF/VT) or iv 5 mg/min up to 20 mg if necessary 

o  IV hydrocortisone

o  Adrenaline

o  IV sodium bicarbonate (acidosis prevents action of sympathonimetics)

o  Intubation and IPPV: sedate with ketamine or benzodiazepines, paralyse with suxamethonium


·        During arrest:

o  Consider assisted exhalation (bilateral manual squeeze over lower chest at end of inspiration)

o  Plus normal routine


Study Material, Lecturing Notes, Assignment, Reference, Wiki description explanation, brief detail
Medicine Study Notes : Emergency Management : Asthma - Emergency Management |


Privacy Policy, Terms and Conditions, DMCA Policy and Compliant

Copyright © 2018-2023 BrainKart.com; All Rights Reserved. Developed by Therithal info, Chennai.