Here is a link to the webpage that has all our clinical guidelines of care including asthma/RAD. We use continuous albuterol (20 mg) on children who initially score a 6 on the respiratory scoring tool for 1 hr duration. The subsequent treatment depends on their follow up respiratory score, 9 or higher = 2nd hour and admission, 5-8 = 8 puffs, obs 1 hr, < 4 obs 1 hr/dc home. We utilize this pathway in the ED as well as at our Urgent Care sites of which 2 are off-campus.
This webpage is open for anyone, all pathways are available for anyone to view and/or utilize.
Karen Kilian, ARNP
Urgent Care | Emergency Department
Past-President, Washington State Chapter NAPNAP
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OFFICE 4800 Sand Point Way NE, Seattle, WA 98105
From: Pediatric Emergency Medicine Discussion List [mailto:[log in to unmask]] On Behalf Of Jim Naprawa
Sent: Wednesday, August 13, 2014 08:49
To: [log in to unmask]
Subject: Continuous vs. intermittent albuterol
We are looking to change the way we deliver albuterol to moderate asthma exacerbation patients from intermittent to continuous nebulizations. Questions for the group: 1) what dose of albuterol do you use for continuous albuterol and how long (1, 2 hours) do you give before deciding on admission? 2) How often are assessments made on patients who are on continuous (q 15 min, q 30 min)?
Nationwide Children's Hospital
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