Over the last few weeks, we covered pediatric coughs, finishing with pediatric pneumonia. This week, we will continue along this trend and discuss community acquired pneumonia (CAP) in the adult population.
Your nurse approaches you and says there is a new patient who arrived via EMS with shortness of breath. And his o2 sat is 65% on nasal canula. That gets you out of your chair and into the room in a hurry and you wrack your brain for the various causes of acute onset hypoxia as you enter the room (and no, it's not Covid-19!)
Asthma is one of the most common causes of respiratory distress seen in the emergency department. Most often, our patients will get better with some nebulizers and steroids. But when this fails, treatment becomes more complicated and patients can decompensate quickly. What are your options to step up therapy in your most severe asthma cases?