July 23, 2017

Asthma and COPD

Asthma and COPD
Asthma and COPD
EM Clerkship
Asthma and COPD

5 core treatments and 5 MORE treatments



5 Core Treatments



* Albuterol* Beta agonist* Bronchodilator* Core treatment for asthma* Ipratropium* Anti-muscarinic* Relax muscles around the airways* Works synergistically with albuterol* Steroids* Decrease inflammation in the airways* Prednisone (PO)* Methylprednisone (IV)* BiPAP (COPD)* Decreases work of breathing* Decreases rates of intubation* Decreases mortality* Antibiotics (COPD)* Infection common cause of inflammation



5 More Treatments



* Magnesium sulfate* Ketamine* Epinephrine (systemic beta agonist)* Heliox* LAST RESORT – Intubation* Decrease rate and volume* Increase expiratory time and inspiratory flow



Additional Reading



* Antibiotics in COPD (AAFP)* The Crashing Asthmatic (REBEL EM)