Symptoms may be worse in patient's with asthma or COPD
Most patients will not require any treatment
Consider X-ray
Oxygen as need for low O2 saturation
Albuterol
2.5-5mg nebulized Q20 minutes or continuous nebulizer
Intravenous steroids
Dexamethasone
0.6mg/kg IV or PO (max 16mg)
Methylprednisolone
Adults- 125mg IV
Children- 2mg/kg IV
Epinephrine nebulized
Consider for patient's with stridor, voice changes, or continuous dyspnea despite aforementioned treatment
2.5-5mg nebulized Q20 minutes or continuous nebulizer
Dexamethasone
0.6mg/kg IV or PO (max 16mg)
Methylprednisolone
Adults- 125mg IV
Children- 2mg/kg IV
0.6mg/kg IV or PO (max 16mg)
Adults- 125mg IV
Children- 2mg/kg IV
Consider for patient's with stridor, voice changes, or continuous dyspnea despite aforementioned treatment
If the exposure is severe and the patient is unstable or continues to decline despite management above then consider intubation
Consider awake fiberoptic intubation given upper airway swelling/edema
Prepare for cricothyrotomy simultaneously if intubation fails
Consider awake fiberoptic intubation given upper airway swelling/edema
Prepare for cricothyrotomy simultaneously if intubation fails
Chloramine
Pulmonary
Propofol
Airway obstruction
Ketofol
Anaphylaxis
Ketamine
Angioedema