Asthma Clinical Pathway – Inpatient
Asthma Clinical Pathway – Inpatient
Asthma Care Escalation
Worsening respiratory distress on severe pathway or tiring on continuous albuterol
- Clinical team at bedside
- Consider CAT call
- NPO, IV if not in place
- NS bolus
- Medications
- Subcutaneous terbutaline
- 10 mcg/kg/dose, Max 250 mcg
- Magnesium sulfate STAT
- Convert to IV methylprednisolone
- Subcutaneous terbutaline
Improvement after magnesium bolus
No improvement after magnesium bolus
Continue with Severe Management Guidelines
- Call CAT if not done previously
- Arrange for PICU transfer, if appropriate
- PICU Asthma Pathway
Note: At any time, any team member can activate Critical Assessment Team (CAT) if additional bedside support needed