A 3–year-old boy is brought to the casualty by his mother with progressive shortness of breath for 1 day. The child has a history of bronchial asthma. On examination, the child is blue, gasping and unresponsive What will you like to do first –
Correct Answer: Administer 100 % oxygen by mask
Description: The symptoms given by the child shows that he is suffering from life-threatening asthma.
Presence of any of the following indicates life-threatening Asthma.
a) Cyanosis
b) Silent chest
c) Poor respiratory effects
d) Altered sensorium
e) Exhaustion, fatigue
f) PEFR < 30 % of predicted and O2 saturation of < 90 %
Management of life-threatening asthma (status asthmaticus)
Immediate O2 inhalation
Injection of terbutaline or adrenaline (s.c.)
Inhalation of salbutamol or terbutaline and ipratropium
Injection of hydrocortisone 10mg/kg.
After the above-mentioned steps, an arrangement is made to transfer the patient to ICU.
Category:
Pediatrics
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