Bicarbonate if there is difficulty achieving an adequate pH.Steroid: Methylprednisolone ~2 mg/kg/day may be reasonable.Bronchodilators: Frequent albuterol nebs (2.5 mg q20 min) or continuous neb (10-15 mg/hr).Intubated asthmatic basic medication package: Glycopyrrolate (0.2 mg IV less evidence).Terbutaline (0.25 mg SC, q15-30 min x3 doses PRN).Start 5 mcg/min, titrate 1-10 mcg/min (peripheral IV is fine).Bradycardia related to dexmedetomidine.Unable to tolerate inhaled bronchodilators (re: coughing). ![]()
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