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Pharmacology - Alberta College of Paramedics

Pharmacology - Alberta College of Paramedics

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FLOW CHART FOR SHORTNESS OF BREATHABC’s100% O2Cardiac Monitor Transport Care as required Vitals q 5 min.Chief Complaint: SOBPatient history Obtain SAMPLE History Obtain OPQRST Repeat Salbutamoland Atroventadministration asper local protocolVital SignsPhysical Examination findings: Inspiratory or expiratorywheezing Cyanosis Poor air entry Intercostal indrawing Sternal retractions Evidence <strong>of</strong> bronchoconstrictionNoYes Administer Salbutamol as perlocal protocol Consider administration <strong>of</strong>Atrovent as per local protocolNOTE : Beware <strong>of</strong> the SILENT CHEST as severe bronchospasm may be present with absent airentry and no evidence <strong>of</strong> wheezing Monitor your patient for development <strong>of</strong> tachyarrhythmias as both ventolin and atroventincrease heart rateEMT <strong>Pharmacology</strong> 34

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