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6 Cards in this Set
- Front
- Back
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Partial upper airway obstruction |
A. Sit the pt up and have them cough B. Transport if obstruction is not clear or if suspected aspiration |
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Complete upper airway obstruction |
A. AHA protocol B. Laryngoscopy in unconscious pts with attempts to remove using mcgills C. If obstruction not removed and unable to ventilate consider cricothyrotomy (needle jet insufflation in Pediatrics) |
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Asthma (Known asthmatic having recurring attack) |
A. Albuterol 5mg atrovent .5mg nebulized B. 125mg solumedrol (alternative 10mg dexamethasone) C. Status Asthmaticus: epi 2-10mcg/min infusion D. Status Asthmaticus: magnesium sulfate 2g in 50 to 100cc over 4 to 5 min E. Consider CPAP |
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COPD |
A. If cyanotic, suspected MI, or severe Respitory distress, administer high flow 02 by mask, be prepared to assist ventilations B. Consider CPAP 100%fio2 C. Albuterol 5mg atrovent .5mg nebulized D. Solumedrol 125mg IV (alternative dexamethasone 10mg IV, IM, PO |
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Insufficient respirations or Respitory arrest |
A. Rule out obstruction, ventilate with BVM B. If possibility of opioids administer nalaxone 2mg IV |
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Pulmonary Edema |
A. Sit pt up, if possible dangle legs B. If pt is in extremis CPAP 100% fio2, use PEEP valve if assisting ventilations C. If Systolic BP > 100 * .4 mg nitro sublingual every 3-5 minutes PRN (use with caution in right sided MI, Contraindicatited in use of Erectile dysfunction medication) D. If suspected MI with chest pain treat per CP protocol |
