CPAP contraindications - ✔️✔️asthma exacerbation, pneumothorax, unprotected
airway, major trauma or burns to head or torso, tracheostomy, inability to sit up right,
unable to cooperate
Bronchoconstriction Medical Directive: Salbutamol indications - ✔️✔️respiratory
distress and suspected bronchoconstriction
Salbutamol Does <25kg - ✔️✔️MDI:600mcg NEB:2.5mg every 5-15 mins repeat 3
times
Salbutamol Does >25kg - ✔️✔️MDI:800mcg NEB:5mg every 5-15 mins repeat 3 times
Bronchoconstriction: epi - ✔️✔️BVM ventilation required and Hx of Asthma
Bronchoconstriction: epi does - ✔️✔️0.01mg/mL =1:1000, 0.01mg/kg max does 0.5mg
Croup Medical Directive: indications - ✔️✔️servere respiratory distress, stridor at rest
URTI, seal like barking cough
Croup: epi conditions - ✔️✔️<8yrs and HR<200 bpm
Croup epi does: - ✔️✔️<1 year under <5kg: 0.5mg NEB. <1 Year under >5kg: 2.5mg
NEB
1Y-<8Y: 5mg NEB
Only 1
(minimum initial volume for nebulization is 2.5 ml
CPAP indications - ✔️✔️severe respiratory distress and s/s of acute pulmonary edema
or COPD
V/Q mismatch - ✔️✔️decrease in ventilation (the amount of new air (V)- available is
less than the circulation (perfusions- Q)
CPAP does what to lung volume - ✔️✔️redistributes lung-water by increasing lung
volume, but does very little to decrease existing lung water volume.
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