Reactive Airway Disease - Pediatric Algorithm

Which protocol is followed if airway, ventilation, or oxygenation is inadequate in pediatric reactive airway disease?

Pediatric Airway Protocol.

Which protocol is followed for allergic reaction or anaphylaxis in pediatric reactive airway disease?

Pediatric Allergic Reaction Protocol.

What exam guides treatment in pediatric reactive airway disease?

Lung exam with auscultation.

What conditions does a seal bark cough or stridor suggest?

Croup or epiglottitis.

What condition does wheezing suggest in pediatric reactive airway disease?

Asthma.

How is racemic epinephrine administered for croup or epiglottitis?

Nebulized.

What is the dose of nebulized racemic epinephrine for croup or epiglottitis?

Epinephrine 1:1,000 1 mL.

What is nebulized racemic epinephrine mixed with?

4 mL saline.

How old must the child be for nebulized racemic epinephrine?

2 years old or older.

What is the dose of nebulized normal saline for croup or epiglottitis?

3 mL.

How is normal saline administered for croup or epiglottitis?

Nebulized.

What should you be prepared for in severe laryngeal edema?

Intubation or cricothyrotomy.

How is albuterol administered for pediatric asthma?

Nebulized.

What is the dose of albuterol for pediatric asthma?

2.5 mg.

What is the dose of ipratropium for pediatric asthma?

0.5 mg.

Is ipratropium always given with albuterol for pediatric asthma?

No, it is given +/- (optional).

How many doses of albuterol can be given for pediatric asthma?

Up to 6 doses, repeated as needed.

What cardiac monitoring is applied in pediatric reactive airway disease?

Cardiac monitor.

When is IV/IO access established in pediatric reactive airway disease?

If indicated.

What is done if the child improves after nebulized treatment?

Transport.

When is IM epinephrine given in pediatric reactive airway disease?

Worsening or life-threatening signs and symptoms without improvement.

What concentration of epinephrine is given IM in pediatric reactive airway disease?

1:1000.

What is the dose of IM epinephrine for pediatric reactive airway disease?

0.01 mg/kg.

What is the max dose of IM epinephrine for pediatric reactive airway disease?

0.15 mg.

How is epinephrine 1:1000 administered for worsening pediatric reactive airway disease?

IM.

Where is IM epinephrine injected in pediatric reactive airway disease?

Thigh only.

What is the dose of Solumedrol for pediatric reactive airway disease?

2 mg/kg.

What is the max dose of Solumedrol for pediatric reactive airway disease?

125 mg.

How is Solumedrol administered for pediatric reactive airway disease?

IVP.

What is the dose of dexamethasone for pediatric reactive airway disease?

0.3 mg/kg.

What is the max dose of dexamethasone for pediatric reactive airway disease?

16 mg.

When is oral dexamethasone used in pediatric reactive airway disease?

If the child is able to take PO.

What form of dexamethasone is used for oral dosing?

The IV form.

How is dexamethasone administered for pediatric reactive airway disease?

Orally.