By vgreene, 13 February, 2017 Eval/tx other conditions: (eg, HF, arrhythmias, PE); monitor fluid balance (eg, diuretics if needed). Consider DDx: ACS, CHF, PE, pneumonia
By vgreene, 13 February, 2017 If ↑work of breathing or impaired gas exchange: Consider ventilation based on indications;2 noninvasive mode preferred if not contraindicated. If acute hypoxemic resp failure, high-flow O2 by nasal cannula may reduce need for intubation and may be an
By vgreene, 13 February, 2017 Combine short-acting BDs:3 SABA (albuterol, levalbuterol) + SAMA (ipratropium). Increase dose and/or frequency. Use spacer or NEB3
By vgreene, 13 February, 2017 Supplemental O26 targeted to 88%-92% sat; if O2 started: ✓frequent ABG/VBG1 for ↑PaCO2/acidosis
By vgreene, 13 February, 2017 Assess severity 1 Oxygenate ventilate give short acting BDs determine disposition
By vgreene, 13 February, 2017 Short-acting BDs:5 SABA (albuterol, levalbuterol) +/- SAMA (ipratropium) [C]. Use spacer or NEB5 hourly x2-3 doses, then q2-4h
By vgreene, 13 February, 2017 Ventilate/oxygenate targeted to 88%-92% sat; ✓frequent ABG/VBG1 for ↑PaCO2/acidosis; noninvasive mode preferred if not contraindicated2
