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11 Cards in this Set

  • Front
  • Back
BLS (Treatment for all patients)
- Ensure patent airway
- Reassurance
- O2 and/or ventilate prn
BLS - Hyperventilation
- Coaching/reassurance
- Remove patient from causative environment. Consider underlying medical problem.
BLS - Toxic Inhalation (CO exposure, smoke gas, etc.)
- Consider transport to facility with hyperbaric chamber
BLS - Known asthmatics
- Consider oral hydration
BLS - Respiratory Distress with croup-like cough
- Aerosolized saline or water 5ml via oxygen powered nebulizer/mask.
ALS (Treatment for all patients)
- Monitor EKG/O2 Saturation prn
- IV SO, adjust prn
- Intubate SO prn
- NG/OG prn per SO
- EtCO2 monitoring, if available, may use SO
ALS - Respiratory Distress ? CHF/cardiac origin
NTG SL:
If systolic BP ≥ 100 but < 150
= NTG 0.4mg SL SO. MR q3-5" SO

If systolic BP ≥ 150
= NTG 0.8mg SL SO. MR x3 q3-5" SO. MR BHO

If systolic BP ≥ 100
= NTG Ointment 1" SO

If systolic BP < 100
= NTG 0.4mg SL per BHO MR BHPO

- CPAP (if available) at 5-10cm H2O SO
ALS - Respiratory Distress ? Asthma/COPD/Respiratory Origin
- Albuterol 6ml 0.083% via nebulizer SO. MR SO
- Atrovent 2.5ml 0.02% via nebulizer SO. Added to first dose of Albuterol

- CPAP (if available) at 5-10cm H2O SO
ALS - If severe respiratory distress or inadequate response to Albuterol/Atrovent consider
If no known cardiac history and < 65yo:
- Epinephrine 0.3mg 1:1000 SC SO. MR x2 q10" SO

If KNOWN cardiac history and/or ≥ 65yo:
- Epinephrine 0.3mg 1:1000 SC BHPO. MR x2 q10" BHPO
NOTE #1
If any patient has taken an erectile dysfunction medication such as Viagra, Cialis, and Levitra within 48 hours, NTG is contraindicated.
NOTE #2
Use caution with CPAP if ? COPD