A 4-year-old girl asthmatic child is brought to casualty. She is not speaking and has fast shallow breathing with pulsus paradoxsus. ABG shows respiratory acidosis. What is the next best step in management of this patient?
1. | CO2 - Respiratory acidosis - pulsus paradoxus 2. Patients not speaking - Imminent respiratory arrest | Do urgent Endotracheal intubation Other option Hyper baric oxygen therapy - CO poisoning, HAPE(High altitude pulmonary edema) MDI with salbutamol - patient cannot inhale Aminophylline - may cause PSVT
Urgent endotracheal intubation
Hyperbaric oxygen therapy
MDI with salbutamol and coicosteroids
Terbutaline subcutaneous with aminophylline drip
COPD and Asthma