First assessment of hemodynamic status , his spo2 is decreased so maintain with o2 mask if pt is still desaturated next with cpap and administer bronchodilaters like levosalbutamol and corticosteroid budicort helps to dilation of bronchioles which may increase the spo2 if not will go with invasive ventilation.
I would continue my treatment with cpap with a duo neb inline. Increase my FiO2 to 90%. Pt is tired but still able to maintain his airway. I would get DFI orders to be ready if cpap does not improve the pt. He still appears to be restricted in waveform.
Etco2 would be my worry . High flow nasal cannula to increase airway volume positive pressure and reduce work of breathing in the hope that blows off co2. If intervention is positive take care to not oversaturate but consider risk vs reward and tirtrate down asap once target sats achieved. Diesel therapy get them to hospital ....
Paramedic student, so gonna try this; -His heart rate is tachy, presumably trying to compensate, he moving air but not perfusing as his ETco2 is alkalotic and his SPo2 on NRB is still in the low 80s. -Due to his WOB id be cautious with CPAP, were already tired and CPAP can make that worse, id try CPAP and monitor for worsened fatigue, if CPAP is not effective, I'm gonna prepare to RSI
First assessment of hemodynamic status , his spo2 is decreased so maintain with o2 mask if pt is still desaturated next with cpap and administer bronchodilaters like levosalbutamol and corticosteroid budicort helps to dilation of bronchioles which may increase the spo2 if not will go with invasive ventilation.
I would continue my treatment with cpap with a duo neb inline. Increase my FiO2 to 90%. Pt is tired but still able to maintain his airway. I would get DFI orders to be ready if cpap does not improve the pt. He still appears to be restricted in waveform.
Etco2 would be my worry . High flow nasal cannula to increase airway volume positive pressure and reduce work of breathing in the hope that blows off co2. If intervention is positive take care to not oversaturate but consider risk vs reward and tirtrate down asap once target sats achieved. Diesel therapy get them to hospital ....
Paramedic student, so gonna try this;
-His heart rate is tachy, presumably trying to compensate, he moving air but not perfusing as his ETco2 is alkalotic and his SPo2 on NRB is still in the low 80s.
-Due to his WOB id be cautious with CPAP, were already tired and CPAP can make that worse, id try CPAP and monitor for worsened fatigue, if CPAP is not effective, I'm gonna prepare to RSI
The battery on the zoll being at 4% is the most concerning vital.
Cpap