2.7 million children (<18 yr) affected in US
850,000 ED visits per year in US
Inflammatory events, usually viral, lead to bronchoconstriction:
Compounded by hyper-reactivity of airwa...
Wheezing, rales, rhonchi
Cough, acute or chronic
Oxygen and oxygen saturation monitoring
Nebulized β-adrenergic agonist: Albuterol
Intubate for respiratory failure or severe fatigue.
IV fluids if evidence of dehydration
Need to individualize based upon subjective and objective assessment
Persistent respiratory difficulty:
Increased respiratory rate/tachypnea
Rapid treatment with continuous re-evaluation to detect any progression of disease is essential.
When admitting patients, assure that β-adrenergic agent therapy is not interrupted.
Krebs SE, Flood RG, Peter JR, et al. Evaluation of a high dose continuous albuterol protocol for treatment of pediatric asthma in the emergency department. Pediatr Emerg Care. ...
493.00 Extrinsic asthma, unspecified
493.02 Extrinsic asthma with (acute) exacerbation
493.90 Asthma, unspecified type, without mention of status asthmaticus
493.10 Intrinsic asthma, unspecifie...
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