Abstract
CASE PRESENTATION
Isaiah is an 8-year-old boy with intermittent asthma who presents to the emergency department (ED) with shortness of breath and audible wheezing that has worsened over the last day. At home, he has used his albuterol metered-dose inhaler (MDI) with spacer multiple times during the last 24 hours without improvement. In the ED, Isaiah is given multiple albuterol treatments using an MDI and spacer, ipratropium bromide, and oral dexamethasone. These treatments have improved his symptoms, but he continues to have shortness of breath, wheezing, and increased work of breathing. His oxygen saturation is 97% on room air. The pediatric emergency medicine fellow is concerned that Isaiah continues to have symptoms and calls to ask that you evaluate him for admission to the pediatric inpatient unit.
Publisher
American Academy of PediatricsItasca, IL
Reference34 articles.
1. 2020 focused updates to the Asthma Management Guidelines: a report from the National Asthma Education and Prevention Program Coordinating Committee Expert Panel Working Group;Cloutier;J Allergy Clin Immunol,2020
2. Global Strategy for Asthma Management and Prevention, 2020. Global Initiative for Asthma. Accessed January 6, 2022. http://www.ginasthma.org.
3. Expert Panel Report 3 (EPR-3): guidelines for the diagnosis and management of asthma—summary report 2007;National Asthma Education and Prevention Program;J Allergy Clin Immunol,2007
4. Asthma;Patel;Pediatr Rev,2019
5. Acute severe asthma (status asthmaticus);Agnihotri;Allergy Asthma Proc,2019