Deadly Respiratory Distress Mimic
Conclusion
It’s important for prehospital providers to be able to differentiate metabolic disturbances in the setting of respiratory distress and not be fooled into thinking tachypnea always has a respiratory cause. The physical exam and adjuncts such as end-tidal capnography can assist in the prehospital diagnosis.
A COPD exacerbation generally presents as diminished lung sounds, wheezing on exhalation, and a prolonged expiratory phase. Here, a patient will attempt to compensate for the inflammation and mucus accumulation associated with the destruction and narrowing of peripheral airways and a subsequent lack of availa...
Source: JEMS Special Topics - July 17, 2018 Category: Emergency Medicine Authors: Brenton Faber, PhD, NRP Tags: Airway & Respiratory Exclusive Articles Patient Care Source Type: news
Deadly Respiratory Distress Mimic
Medic 534, staffed by a paramedic and EMT, is dispatched to a nursing home for a 78-year-old female in respiratory distress.
On arrival, the crew finds the patient in a chair accompanied by two nurses and the administrator on call. The patient is in obvious distress showing fatigue and an increased work of breathing. She is alert to voice, but diaphoretic, lethargic, and unable to speak due to rapid, shallow breathing.
A nurse is administering a nebulizer containing 3 mL of albuterol sulfate/ipratropium. A second nurse states that the patient has been in increasing distress for the last 45 minutes. The nurse also says that...
Source: JEMS Patient Care - July 17, 2018 Category: Emergency Medicine Authors: Brenton Faber, PhD, NRP Tags: Airway & Respiratory Patient Care Source Type: news
Even the Thinnest Salami Contains Some Meat Even the Thinnest Salami Contains Some Meat
This editorial comments on a recent study regarding differences in the utilization of albuterol for infants with bronchiolitis.Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - June 28, 2018 Category: Consumer Health News Tags: Emergency Medicine Journal Article Source Type: news
Gene Variants Tied to Albuterol Response in Minority Kids With Asthma Gene Variants Tied to Albuterol Response in Minority Kids With Asthma
A new genome-wide association study has identified variants associated with worse albuterol response in African American and Puerto Rican children with asthma.Reuters Health Information (Source: Medscape Allergy Headlines)
Source: Medscape Allergy Headlines - March 21, 2018 Category: Allergy & Immunology Tags: Pediatrics News Source Type: news
What are Indications for Allergen-specific Immunotherapy?
Discussion
Allergen-specific immunotherapy (AIT) is a disease modifying treatment for allergic disease. Sometimes referred to as desensitization, the premise is to expose the patient to small but regular amounts of a specific antigen thereby building tolerance within the patient to the allergen. AIT is often underused because of safety concerns and lack of appropriately trained health care providers and facilities to safely carry out AIT treatment. There are 4 main AIT treatments options currently:
SCIT – subcutaneous immunotherapy
Allergen is injected into the subcutaneous skin
“Shots are effective in treati...
Source: PediatricEducation.org - March 5, 2018 Category: Pediatrics Authors: pediatriceducationmin Tags: Uncategorized Source Type: news
Class 2 Medicines Recall: Ventolin Accuhaler 200mcg and Seretide Accuhaler 50 microgram/250 microgram/dose inhalation powder, pre-dispensed
The Medicines and Healthcare Products Regulatory Agency (MHRA) has issued class 2 medicines recalls for Ventolin Accuhaler 200mcg and Seretide Accuhaler 50 microgram/250 microgram/dose inhalation powd (Source: Royal Pharmaceutical Society News)
Source: Royal Pharmaceutical Society News - February 22, 2018 Category: Drugs & Pharmacology Source Type: news
Asthma inhalers recalled in device alert
Specific batches of Ventolin Accuhaler and Seretide Accuhaler do not deliver the full dose. (Source: BBC News | Health | UK Edition)
Source: BBC News | Health | UK Edition - February 21, 2018 Category: Consumer Health News Source Type: news
Breo vs Albuterol
Title: Breo vs AlbuterolCategory: MedicationsCreated: 12/19/2017 12:00:00 AMLast Editorial Review: 12/19/2017 12:00:00 AM (Source: MedicineNet Medications General)
Source: MedicineNet Medications General - December 19, 2017 Category: Drugs & Pharmacology Source Type: news
Albuterol Plus Budesonide Cuts Exacerbations in Asthma
Risk for severe exacerbations significantly lower with as - needed fixed higher - dose combination treatment versus albuterol alone (Source: Pulmonary Medicine News - Doctors Lounge)
Source: Pulmonary Medicine News - Doctors Lounge - October 12, 2017 Category: Respiratory Medicine Tags: Family Medicine, Internal Medicine, Emergency Medicine, Pediatrics, Pharmacy, Pulmonology, Conference News, Source Type: news
Montelukast Adds Little For Elderly Asthma Patients
Montelukast for 8 weeks appeared to reduce daily symptoms scores and number of puffs of albuterol relative to placebo, but the results did not reach statistical significance. But....there are caveats. (Source: ConsultantLive)
Source: ConsultantLive - October 2, 2017 Category: Internal Medicine Authors: Mark L. Fuerst Tags: Asthma Respiratory Diseases Source Type: news
Combivent Respimat (Ipratropium Bromide and Albuterol) - updated on RxList
(Source: RxList - New and Updated Drug Monographs)
Source: RxList - New and Updated Drug Monographs - June 5, 2017 Category: Drugs & Pharmacology Source Type: news
Albuterol Sulfate Inhalation Solution (0.5%) (Updated - Resolved)
Drug Shortage (Source: FDA Drug Shortages)
Source: FDA Drug Shortages - May 10, 2017 Category: Drugs & Pharmacology Source Type: news
