Thursday, 27 July 2017

management of status asthamaticus COPD

management

1]OXYGEN IS GIVEN AT RATE OF 4 TO 6 L/MIN 
2]INJ SOLUCORTEF 200 MG IV THIS MAY BE REPEATED AS 100 MG /4 TO 6HOUR AS DESIRED .ALONG WITH PREDNISOLINE 30 MG IS GIVEN ORALLY /12 HR 
3] VENTOLINE  NEBULIZATION 1ML OF SOLUTION MIXED WITH 3MLM OF SLINE IS GIVEN WITHIN 20 MINUTES IT IS REPEATED FOR THREE TIME .IF NO IMPROVEMENT THEN IT IS GIVEN CONTINUOUSLY STILL PATIENT SHOW IMPROVEMENT 
4] IPRATROIUM BROMID 250 TO 500 MICROGRAM IN 3ML SALINE AND NEBULIZATION IN 20 MINUTES THIS IS GIVEN FOR VENTOLINE BETTER RESPONSE  IPRATSOPIUM CAN BE REPEATED TWICE ONE HR APART IF NO IMPROVEMENT THEN IT IS REPEATED 4 TO 6 HR 
5] ANTIBIOTIC ARE USED WHEN RESPIRATORY TRACK INFECTION IS ALSO SUSPECTED 

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