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Bronchospasm emergency order

Bronchospasm emergency step 1 100%O2 via bag/mask
Bronchospasm emergency step 2 albuterol inhilation 4-8 puffs every 20 min
Bronchospasm emergency step 3 Ipratropium bromide ( atrovent) 2 puffs stat; repeat every 4 hours
Bronchospasm emergency step 4 Epi. Injection (0.5 mL of 1:100 solution IM or subling. if anaphylaxis is suspected and/or hypotension) or IV epi 3-5 mL 1:10,000 sol. slowly in small increments ( only with severe bronchospasm in pt. with hypotension.
Bronchospasm emergency step 5 Intubation/ventilation ( endotracheal tube, LMA, igel or Combitube)
Bronchospasm emergency step 6 Steroid injection such as dexamethasone/Decadron 4-6mg IV or hydrocortisone 100mg IV
Bronchospasm emergency step 7 Benadryl 50mg IV
Bronchospasm emergency step 8 Aminophylline is no longer considered a first time drug for management of bronchospasm.
Bronchospasm emergency step 9 If bronchospasm has not completely responded to steps 1-6, EMS should be activated and transport the patient to an acute care facility
Created by: Oliverhart