Respiratory Distress
General adult Assessment
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Patient in position of comfort
No
Airway & ventilation
adequate?
Ventilation Management
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Yes
Vascular Access
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Bilateral Rales or Signs
of Pulmonary Edema
Wheezing or
Bronchospasm
Stridor
Pulmonary Edema/CHF
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ALBUTEROL
assist pt w/own MDI
ALBUTEROL
2.5 mg in 3.0 ml SVN
repeat untill improvement
IPRATROPIUM
2.5 ml in 0.02% sol SVN once
or DuoNeb 3.0 ml SVN once
Consider CPAP
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Consider
MAGNESIUM SULFATE
2.0 g in 50 ml NS
over 10 minutes
Nebulized
NS
SVN
Consider
Allergic Reaction
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Continue General adult Assessment
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