Increased expiratory resistance:
Smooth muscle hypertrophy
Increased dead space
Posture sitting upright or leaning forward
Use of accessory muscles
Inability to speak in full sen...
Recognize the “quiet chest” as respiratory distress.
Continuous nebulized β-agonist
Administration of IM/SC epinephrine
PEFR <40% and minimal air movement
Persistent respiratory distress:
Factors that should favor admission:
Recent ED visit
Altered mental status in asthma equals ventilatory failure.
Patients should be able to demonstrate the correct use of their inhaler or nebulizer:
Discharge with a peak flow meter
Camargo CA Jr, Rachelefsky G, Schatz M. Managing asthma exacerbations in the emergency department: Summary of the National Asthma Education and Prevention Program Expert Panel Re...
493.90 Asthma, unspecified type, without mention of status asthmaticus
493.91 Asthma, unspecified type, with status asthmaticus
493.92 Asthma, unspecified type, with (acute) exacerbation
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