SAQ 550 – Paediatrics – acute asthma management and ventilation

A 3-year-old boy, weight 15 kg, presents at 0400 with acute asthma triggered by a viral URTI. He has never previously attended hospital for asthma and last had salbutamol by spacer 2 hours ago.

Observation	Result
GCS	15
Heart rate	110/min
SpO2	91% room air
Speech	Short phrases
Work of breathing	Moderate subcostal recession

Complete the table with three (3) different key treatment interventions in the first hour, assuming no contraindications.

(Marked out of 6.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Agent</th> <th>Route</th> <th>Dose</th> <th>Frequency</th> </tr> </thead> <tbody> <tr> <td>1.</td> <td></td> <td></td> <td></td> </tr> <tr> <td>2.</td> <td></td> <td></td> <td></td> </tr> <tr> <td>3.</td> <td></td> <td></td> <td></td> </tr> </tbody> </table> <p>

/ 6

If he deteriorates despite initial treatment, list three (3) additional agents you could administer.

(Marked out of 3.0)

/ 3

If invasive ventilation is indicated, complete the table about your interventions.

(Marked out of 3.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Intervention</th> <th>Answer</th> </tr> </thead> <tbody> <tr> <td>Principal induction agent for RSI</td> <td></td> </tr> <tr> <td>Inspiratory-to-expiratory ratio</td> <td></td> </tr> <tr> <td>Maximum tolerated peak airway pressure</td> <td></td> </tr> </tbody> </table> <p>

/ 3

Other than trigger avoidance, state two (2) evidence-based primary prophylaxis interventions for a 3-year-old whose asthma attacks occur fortnightly.

(Marked out of 2.0)

/ 2

Total Score: 0 / 14

Percentage: 0%