Just in Time
On the Side
What's the Score
Action Item
On and On and On and
100
Usual time it takes for steroids to start working
What is 2 hours?
100
Hypotension
What is a side effect of continuous albuterol?
100
Difficulty speaking single words.
What is CHAS score of 2 for Observed Dyspnea?
100
Early sign of asthma.
What is coughing (or runny nose, or cold, or glassy eyes)?
100
The continous albuterol policy is found here.
What is Compliance 360?
200
Frequency of albuterol that should be tolerated before discharge from the hospital.
What is 4 hours?
200
Thrush
What is the most common side effect of inhaled steroids?
200
Respiratory rate of 50 for 4 year old.
What is CHAS Score of 1 for Respiratory Rate?
200
The child is well - no signs of asthma.
What is the Green Zone?
200
Action to take when CHAS Score is 8 at 2 hourly assessments.
What is decrease continous albuterol by 10mg/hr?
300
Time in PICU stable on continuous before transfer to 7 East.
What is 2 hours?
300
Sleep disturbance
What is a side effect of oral steroids - especially if given in the evening?
300
Inspiration > Expiration
What is CHAS Score of 0 for I/E ratio?
300
Not better after the first hour; Albuterol needed more often than every 4 hours; Sick More than 1 day;
What is the "rules" for calling the provider in the Yellow Zone?
300
Action to consider if patient is receiving continuous albuterol 20mg/hr and CHAS is 10 and oxygen requirement is increasing.
What is call rapid response?
400
1.65 days
What is the average length of stay for an asthma admission?
400
Hyperglycemia
What is a side effect of systemic steroids?
400
Only expiratory wheeze heard with stethoscope.
What is CHAS score of 1 for wheezing?
400
Retractions; Vomitting; Constant Coughing;
What are late signs of asthma?
400
Action to consider if patient receiving continuous albuterol is hypotensive.
What is give fluid bolus?
500
Usual length of of an oral steroid burst.
What is 5 days?
500
Leg cramps
What is a side effect of albuterol?
500
This is where you can find or document CHAS scores.
What is the Respiratory Therapy flow sheets in KIDDOS?
500
Repeat albuterol and give oral steroid dose.
What is action to take in the Red Zone if you are unable to reach the provider?
500
Action to consider if patient is hypotensive despite fluid bolus, patient tolerates RA and CHAS is 4.
What is discontinue continuous albuterol?
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