Breathing Difficulty

Asthma/COPD/RAD

  • Albuterol (Proventil) 0.5 ml in 2.5 ml NS via HHN. May repeat every 5 min to a total of 4 treatments
  • For first treatment may add ipratropium bromide or use Duoneb
  • Consider CPAP if available
  • Consider levalbuterol (Xopenex) 1.25 mg via nebulizer
  • Consider 60 mg Prednisone PO or Solumedrol 125mg IV
  • For patients who do not respond to nebulizer tx or for impending respiratory failure, consider:
    • Epinephrine (1:1,000) 0.3 mg (0.3 ml) SQ or IM; contact Medical Command if there are cardiac risk factors
    • Magnesium Sulfate 2g in 100 ml 0.9% NaCl IV over 10 minutes
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