Pediatric
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
Yes
Wheezing or
Bronchospasm
Stridor
ALBUTEROL
assist pt w/own MDI
ALBUTEROL
2.5 mg in 3.0 ml SVN
repeat untill improvement
PT >2 y/o with history
of wheezing
IPRATROPIUM
2.5 ml in 0.02% solution
SVN once; or
DuoNeb 3.0 ml SVN once
Nebulized
NS
SVN
Provide comfort
measures
Consider
Vascular Access
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☎
For suspected Croup,
EPINEPHRINE
1:1000
3-5 mg SVN
if SpO₂ <94%
Consider
Vascular Access
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Consider
Allergic Reaction
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Continue General Pediatric Assessment
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