Round 14 (Shortness of Breath)

Summary: <br> CAUTION: THESE NOTES CONTAIN SPOILERS!!!<br> <br> <br> <br> Case Introduction<br> <br> <br> <br> You are sitting at your computer on an otherwise quiet night when a young male is brought into your ED in obvious respiratory distress.<br> <br> <br> <br> Initial Vitals<br> <br> <br> <br> * Temp 98.6* HR 99* RR 34* BP 105/69* O2 95%<br> <br> <br> <br> Critical Actions<br> <br> <br> <br> * Give Albuterol + Ipratropium + Steroids* Obtain Chest Xray* Give Magnesium* Place patient on BiPAP* Give IV Beta Agonist (Epinephrine)<br> <br> <br> <br> Final Diagnosis<br> <br> <br> <br> Status Asthmaticus<br> <br> <br> <br> Tips and Tricks<br> <br> <br> <br> Frequently perform verbal reassessments on patients with the examiner (vitals, patient appearance, pain, etc)<br> <br> <br> <br> Additional Reading<br> <br> <br> <br> * The Crashing Asthmatic <a href="https://rebelem.com/rebelcast-crashing-asthmatic/#:~:text=Acute%20severe%20asthma%2C%20formerly%20called%20status%20asthmaticus%2C%20is,medical%20emergency%20that%20requires%20immediate%20recognition%20and%20treatment.">(REBEL EM)</a><br>