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    Station 3 Leaflet

    Uploaded by

    Felicianna Ashwinie Stanley
    This document provides information on common medications used to treat COPD/asthma in pediatric and adult patients. It lists the name, route of administration, and dosages of medications like salbutamol, ipratropium, budesonide, magnesium sulfate, and hydrocortisone. It also gives initial ventilator settings for COPD/asthma patients and signs to suspect auto-PEEP, along with recommendations to manage auto-PEEP like reducing respiratory rate and prolonging expiratory time.

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    Station 3 Leaflet

    Uploaded by

    Felicianna Ashwinie Stanley
    60 views5 pages
    This document provides information on common medications used to treat COPD/asthma in pediatric and adult patients. It lists the name, route of administration, and dosages of medications like salbutamol, ipratropium, budesonide, magnesium sulfate, and hydrocortisone. It also gives initial ventilator settings for COPD/asthma patients and signs to suspect auto-PEEP, along with recommendations to manage auto-PEEP like reducing respiratory rate and prolonging expiratory time.

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    This document provides information on common medications used to treat COPD/asthma in pediatric and adult patients. It lists the name, route of administration, and dosages of medications like salbutamol, ipratropium, budesonide, magnesium sulfate, and hydrocortisone. It also gives initial ventilator settings for COPD/asthma patients and signs to suspect auto-PEEP, along with recommendations to manage auto-PEEP like reducing respiratory rate and prolonging expiratory time.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    60 views5 pages

    Station 3 Leaflet

    Uploaded by

    Felicianna Ashwinie Stanley
    This document provides information on common medications used to treat COPD/asthma in pediatric and adult patients. It lists the name, route of administration, and dosages of medications like salbutamol, ipratropium, budesonide, magnesium sulfate, and hydrocortisone. It also gives initial ventilator settings for COPD/asthma patients and signs to suspect auto-PEEP, along with recommendations to manage auto-PEEP like reducing respiratory rate and prolonging expiratory time.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
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    Common medications for COAD / asthma

    Name of medications Route of Paediatrics Paediatrics Adults


    administrati (< 5 years old) (> 5 years old)
    on
    Salbutamol (50mg in 10ml) Nebulisation o.o3ml/kg salbutamol + remaining ml NS 1ml + 3ml NS / 2ml + 2ml NS
    Atrovent (ipratropium) Nebulisation
    • 0.5mg/2ml • 1ml +3ml NS • 2ml + 2ml NS • 2ml + 2ml NS
    • 0.25mg/2ml • 2ml + 3ml NS • 4ml • 4ml
    AVN Nebulisation
    A: Atrovent • A : 0.25mg/2ml • A: 0.5mg/2ml • A: 0.5mg/2ml
    V: Ventholin V : o.o3ml/kg V : o.o3ml/kg V: 1ml (5mg)
    N: Normal saline N : NS remaining ml N : NS remaining ml N: 1ml NS

    Combivent (ipratropium 0.5mg + Nebulisation 1ml + 3ml NS 2ml + 2ml NS 4ml (pure 2 vials)
    salbutamol 2.5mg)
    *severe cases*
    Budesonide Nebulisation • In Croup : 2mg stat (4ml) = 2 vials 2ml (1 vial) + 1ml salbutamol
    • Others: 2ml (1 vial) + o.o3ml/kg salbutamol + + 1ml NS
    remaining ml NS
    Name of medications Route of Paediatrics Paediatrics Adults
    administration (< 5 years old) (> 5 years old)
    Magnesium Sulphate Intravenous 50mg/kg (25-75mg/kg) over 20mins 2.47g in 20ml over 20mins
    (2.47g in 5ml) (1 vial must be diluted minimum of 7.5ml solution)
    Hydrocortisone Intravenous 4mg/kg 4mg/kg 200mg stat in 20ml NS
    (100mg dilute in 10ml NS)
    Prednisolone Oral 1mg/kg 1mg/kg 1mg/kg (up to 60mg)
    (0.5-1.0ml/kg/day)
    Salbutamol Intravenous Infusion 3-20mcg/min
    (0.5mg/ml) (max: 20mcg/min)
    Respiratory failure : 5mcg/min
    6 vials = 3mg/ml = 6ml
    ჻ 6ml + 44ml NS 0.9% = 50ml
    Aminophylline* Intravenous Infusion *not recommended* Loading dose:
    (250mg/10ml) • 5.7mg/kg over 30mins
    >> up to 250mg : dilute in
    **if pt have theophylline tx, to 50ml NS 0.9% (1 vial)
    check for serum theophylline >> 250-500mg: dilute in
    concentration 100ml NS 0.9% (2 vials)
    LD = (concentration desired –
    measured) x Vd
    Maintenance dose:
    • 2 vials = 500mg/20ml
    Initial settings
    for ventilator
    for COPD /
    asthma patient
    WHEN TO SUSPECT AUTO-PEEP? MANAGEMENT WHEN
    1. Increasing plateau pressures on the ventilator. SUSPECTING AUTO-PEEP?
    2. Flow time scalar on Ventilator - doesn’t reach baseline

    3. Active exhalation by the patient as seen by the use of 1. Reduce the RR


    accessory muscles of respiration during exhalation.
    2. Change I:E – prolong the expiratory
    4. Drop-in blood pressure.
    time
    5. Long expiratory times.
    3. Check Pplat FREQUENTLY – Pplat
    6. Respiratory distress

    <30mmhg

    4. Set a low amount PEEP

    5. Allow Permissive Hypercapnia

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