Asthma

Asthma, moderate
[ ] Peak Flow
[ ] Albuterol / Atrovent nebs x 3, f/b repeat Peak Flow
[ ] Prednisone 60 mg PO x 1
[ ] +/- CXR

Asthma, Severe
[ ] Magnesium 2 grams IV over 20 minutes
[ ] Epinephrine 0.3-0.5 mg IM q20min for up to 3 doses
[ ] Terbutaline 0.25 mg SC q20min for up to 3 doses
[ ] Heliox at 10L/min with continuous in-line albuterol, double-dosed
[ ] Ketamine for intubation or DSI, 1 mg/kg IV
[ ] Vent settings: AC 5/10 FiO2 40% Vt 6-8 cc/kg rate: slow (permissive hypercapnia, to allow expiration), ~ 10-12
[ ] post-intubation: pCXR, and ABG within 1 hour
[ ] If poor compliance, paralysis with Vecuronium 10 mg IV

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