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By vgreene, 13 December, 2016

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

By vgreene, 13 December, 2016

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

By vgreene, 13 December, 2016

Admit to ICU

By vgreene, 13 December, 2016

Consider adjunct tx:12 MgSO4, heliox

By vgreene, 13 December, 2016

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

By vgreene, 13 December, 2016

IV steroids8

By vgreene, 13 December, 2016

Add ipratropium7 NEB until hospitalized

By vgreene, 13 December, 2016

SABA6 (albuterol, levalbuterol) NEB

By vgreene, 13 December, 2016

100% O2, monitor pulse oximetry SaO2;4 ✓ABG5 to assess PCO2

By vgreene, 13 December, 2016

Pre-intubation NEBs should use well-fitting face mask

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