ED nurse initiated Rx of the patient presenting with asthma
patients with asthma benefit from early salbutamol and steroid therapy
their length of stay in ED could be reduced and their symptoms partly relieved by nurse initiated ED Rx, although it is recognised that these presentations can be complex and warrant timely medical assessment to properly exclude important red flags.
the following is a suggested framework for ED's who have nurses accredited to undertake ED nurse initiated treatment including the ordering of pathology tests.
specific history and examination
specific nurse initiated Rx for hyperemesis
red flags to escalate medical referral
adults may be suitable for transfer patient to EOU after discussion with senior ED doctor
commence salbutamol inhalers as per protocol
oral prednisolone if patient has not had a dose that day
oxygen to keep SaO2 > 96%
if mod-severe asthma:
nursing/asthma.txt · Last modified: 2012/07/23 05:00 by gary1