Asthma: No BP (Adult)

Status

Pt loses cardiac output - especially during assisted ventilation and bag becomes stiff

Pt requires immediate intervention
Apnoea 1 min - Exclude tension pneumothorax - Gentle lateral chest pressure - Prepare for potential resuscitation

Cardiac output returns			Cartoid pulse, no BP			No return of output
Treat as per Asthma - Unconscious			Adrenaline IV, 50mcg - Repeat Adrenaline IV 50-100mcg, 1 minutely as required			Mx as per appropriate Guideline
			Normal Saline IV 20ml/kg

Special Notes

Consider potential for tension pneumothorax and Mx.

Due to high intrathoracic pressure due to gas trapping, venous return is lost and Pt may lose cardiac output. Apnoea allows the gas trapping to decrease.