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By vgreene, 19 December, 2016

O2, bronchodilators, PO steroids

By vgreene, 19 December, 2016

Reassess after 3 SABA doses (60-90min after initial tx) [A]

By vgreene, 19 December, 2016

Oral steroids5

By vgreene, 19 December, 2016

Plus ipratropium3 NEB or MDI + VHC q20min x1h

By vgreene, 19 December, 2016

High-dose SABA3 + ipratropium4 via NEB or MDI + VHC q20min x3 or continuously x1h

By vgreene, 19 December, 2016

Oxygen to achieve SaO2 >90%1,2 (>95% in pts w/ heart dz)

By vgreene, 19 December, 2016

Intubate immediately/semi-electively, 100% O2, bronchodilators, IV steroids, admit to ICU

By vgreene, 19 December, 2016

Admit to ICU

By vgreene, 19 December, 2016

Consider adjunct tx:12 MgSO4, heliox

By vgreene, 19 December, 2016

Brief hx/exam;9,10 tests11 in select pts

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