Severe Asthma Algorithm - Management of Life-Threatening Asthma in the Emergency Department Step One 1. Nebulized Albuterol 2. Nebulized ipratropium bromide 3. Methylprednisolone 125 mg IV 4. Magnesium sulfate 2 g IV 5. Nebulized epinephrine Step Two 1. Epinephrine 0.5 mg IM 2. Fluid bolus 20 cc/kg 3. Diagnostics: Chest X-ray. CBC, chemistry, verous blood gas. HCG, ECG if concern for non-sinus rhythm or cardiac ischemia Dr. Reuben Strayer @emupdates #Emergency #Management #CriticalCare #Severe #Asthma #Exacerbation #Algorithm
