1. Triage and Acuity Scale
Status Asthmaticus
IV ß2 agonist
Magnesium
IV Aminophylline
Helium oxygen therapy
Emergency room
Respiratory support*: O2 / NIV (Bilevel)
Monitoring, Fluids (careful atention K+ levels)
Inhaled B2 agonist intermittent or continuous and Ipratropium
Corticosteroids ev
Triage and Acuity Scale
Respiratory support*: O2, inhaled ß2 agonist +/- Ipratropium
Corticosteroids, Magnesium
If no response to appropriate therapy or admission criteria*
UCIP
1st Step
2nd Step
*Pulmonary score (PS) > 7, oxygen saturation < 91% and FiO2 ≥ 0.6, silent chest, increase respiratory effort, altered level of consciousness, central cyanosis
Consider mechanical ventilation: (avoided if at all possible): cardiopulmonary arrest, severe hypoxia or rapid deterioration in mental state
Protocol on approach to children with status asthmaticus