Scribd
Upload
88 views1 page

Acute Respiratory Difficulty Management Guide

This document provides guidance on treating acute respiratory difficulty or signs of shock. It recommends administering adrenaline injections and monitoring the patient closely. If no improvement, the patient should be transferred to the emergency room. It also lists additional treatments including oxygen, IV fluids, nebulized bronchodilators, antihistamines, corticosteroids, and monitoring vital signs. The goal is to open the airways and treat shock while preparing for emergency care.

Uploaded by

Mohammad Islam
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
88 views1 page

Acute Respiratory Difficulty Management Guide

This document provides guidance on treating acute respiratory difficulty or signs of shock. It recommends administering adrenaline injections and monitoring the patient closely. If no improvement, the patient should be transferred to the emergency room. It also lists additional treatments including oxygen, IV fluids, nebulized bronchodilators, antihistamines, corticosteroids, and monitoring vital signs. The goal is to open the airways and treat shock while preparing for emergency care.

Uploaded by

Mohammad Islam
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

ACUTE RESPIRATORY DIFFICULTY

Progressive swelling, stridor, wheezing, Distress

and /or

SIGNS OF SHOCK/HYPOTENSION
(esp if skin or mucosal changes are present )

Inj ADRENALINE 0.5ml IM OBSERVE Transfer to ER


Midpoint of anterolateral mid third of thighs if no improvement Contact ER – Team
Repeat Inj ADRENALINE 0.5ml IM Leader 102
(Do not give to the limb used for vaccination)
Complete the
reporting forms

OXYGEN – MONITORS – IV ACCESS


• High flow oxygen
• Maintain patent airway (Intubate/Cricothyrotomy
if necessary)
• BP, Sats, ECG monitoring
• Lie patient supine with legs elevated if
hypotensive
• High flow IV line

Adjunctive treatment

CRYSTALLOID NEBULISED BRONCHODILATORS


H1 ANTIHISTAMINE (if severe bronchospasm, and
(NS) Rapid infusion of 1 - 2 litres if no especially if on beta blockers)
Promethazine 25 mg IM or slow IV
response to adrenaline Salbutamol/Ipratropium/NS

(Every 15-20 mins)

H2 RECEPTOR ANTAGONIST CORTICOSTEROIDS


Ranitidine Adult - 50 mg slow IV (diluted in 20 ml over 2 min) Hydrocortisone 200 mg IM / slow IV

You might also like