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97: Status Asthmaticus Part 2: Strategies to Manage the Crashing Asthmatic
Manage episode 492566337 series 3428871
Part two of our crashing asthmatic series continues with a comprehensive look into what exactly happened in last week’s nightmare patient case.
Host Sarah Lorenzini dives into the pathophysiology of status asthmaticus, explaining the physiological changes in the airways during severe asthma attacks and what makes these cases resistant to standard treatment. She also breaks down treat options for patients approaching the asthma spiral of death, from pharmacological interventions to last-resort interventions like ECMO.
This episode highlights the key role of nurses in the care of status asthmaticus, including the importance of recognizing the red flags like “silent chest” and managing patient anxiety.
Tune in to learn everything you need to know about caring for a crashing asthmatic!
Topics discussed in this episode:
- The pathophysiology of asthma
- Signs of asthma exacerbation
- Treating a progression of asthma symptoms
- The danger of silent chest
- Advanced interventions for status asthmaticus
- Tips for sedation and intubation
- Understanding your role as a nurse
Read this article that supports the use of magnesium for asthma:
https://pubmed.ncbi.nlm.nih.gov/24865567/
Read this article that shows magnesium does not help in asthma cases:
https://pubmed.ncbi.nlm.nih.gov/1536485/
....and there are so many more conflicting studies like these ☝️
Listen to Episode 73: Resuscitate Before You Intubate: How to NOT KILL YOUR PATIENT When You Intubate https://podcasts.apple.com/us/podcast/73-resuscitate-before-you-intubate-how-to-not-kill/id1535997752?i=1000630431016
Mentioned in this episode:
Rapid Response Academy Link
Wanna check out Rapid Response Academy: The Heart and Science of Caring for the Sick? click this link to learn more: https://www.rapidresponseandrescue.com/community
Rapid Response and Rescue Intro Course
CONNECT 📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/ 🫶 Check out my membership: https://www.rapidresponseandrescue.com/community 📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore 🧑💻Check out my website: https://www.rapidresponseandrescue.com/ 📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login 🎁 Affiliation and discounts: https://hoo.be/therapidresponsern SAY THANKS 💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752 💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xE To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST! This episode was produced by Podcast Boutique https://www.podcastboutique.com
144 episodes
Manage episode 492566337 series 3428871
Part two of our crashing asthmatic series continues with a comprehensive look into what exactly happened in last week’s nightmare patient case.
Host Sarah Lorenzini dives into the pathophysiology of status asthmaticus, explaining the physiological changes in the airways during severe asthma attacks and what makes these cases resistant to standard treatment. She also breaks down treat options for patients approaching the asthma spiral of death, from pharmacological interventions to last-resort interventions like ECMO.
This episode highlights the key role of nurses in the care of status asthmaticus, including the importance of recognizing the red flags like “silent chest” and managing patient anxiety.
Tune in to learn everything you need to know about caring for a crashing asthmatic!
Topics discussed in this episode:
- The pathophysiology of asthma
- Signs of asthma exacerbation
- Treating a progression of asthma symptoms
- The danger of silent chest
- Advanced interventions for status asthmaticus
- Tips for sedation and intubation
- Understanding your role as a nurse
Read this article that supports the use of magnesium for asthma:
https://pubmed.ncbi.nlm.nih.gov/24865567/
Read this article that shows magnesium does not help in asthma cases:
https://pubmed.ncbi.nlm.nih.gov/1536485/
....and there are so many more conflicting studies like these ☝️
Listen to Episode 73: Resuscitate Before You Intubate: How to NOT KILL YOUR PATIENT When You Intubate https://podcasts.apple.com/us/podcast/73-resuscitate-before-you-intubate-how-to-not-kill/id1535997752?i=1000630431016
Mentioned in this episode:
Rapid Response Academy Link
Wanna check out Rapid Response Academy: The Heart and Science of Caring for the Sick? click this link to learn more: https://www.rapidresponseandrescue.com/community
Rapid Response and Rescue Intro Course
CONNECT 📸 Connect on Instagram: https://www.instagram.com/therapidresponsern/ 🫶 Check out my membership: https://www.rapidresponseandrescue.com/community 📚 Check out my course: https://www.rapidresponseandrescue.com/learnmore 🧑💻Check out my website: https://www.rapidresponseandrescue.com/ 📬 Subscribe to my newsletter: https://www.rapidresponseandrescue.com/login 🎁 Affiliation and discounts: https://hoo.be/therapidresponsern SAY THANKS 💜Leave a review on Apple Podcasts: https://podcasts.apple.com/ca/podcast/rapid-response-rn/id1535997752 💚Leave a rating on Spotify: https://open.spotify.com/show/55LQqeDg6XFeixvZLEp4xE To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST! This episode was produced by Podcast Boutique https://www.podcastboutique.com
144 episodes
All episodes
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1 140: Resuscitation Then and Now: How Evidence Shapes Every Beat with Guest Dr. Ashish Panchal MD, PhD 56:22

1 139: Gut Feelings & Great Saves: Nursing Wisdom with Dr. Vicki Good, DNP and Andrea Schmitt RN, Hosts of the Voices in Nursing Podcast 44:36

1 138: Could Rapid Response Teams Be One of The Solutions to Reduce Nursing Burnout, Improve Nursing Retention, and Elevate Patient Safety? With Guest Jaclyn RN 54:35

1 137: In Flight Medical Emergencies with Alex PhD, EMT-P 1:00:08

1 136: Bridging the Gap Between Pre-Hospital and In-Hospital Patient Care with Flight Medic, Sam 42:20

1 135: Ruptured Aortic Dissection With Guest Christian Guzman, APRN 54:49

1 134: Ruptured Ectopic Pregnancy With Guest Shenell RN 43:39

1 133: Transitioning from ED to Rapid Response with Aidan RN 33:29

1 132: Living and Working as a Nurse With a LVAD (Left Ventricular Assist Device) 53:48

1 131 REBOOT: TACO, TRALI, and All Things Blood Transfusion Reactions 26:05

1 130:The Do's and Don'ts of Healthy Team Dynamics (Creating a Safe Culture With Your Team) 27:23



1 126: Hurricane Relief Nursing with Brooke RN 38:18


1 123: What Makes for a Great Resuscitationist? 19:09

1 122: What is POTS and When Is It an Emergency? With Guest Dr. Alexis Cutchins 29:48

1 121: Early Detection of AKI With Tom MSN, RN From Accuryn 43:43

1 120: Medical Missions Nursing With Becca RN From Mercy Ships 36:44

1 119: Spinal Cord Ischemia with Michelle Dedeo DNP, RN, CNS, ACCNS-AG, CCRN, CNRN, SCRN, TCRN 46:06



1 116: "So You Want to Go Back to School?" with Guest Nicole Kupchik, Clinical Nurse Specialist 37:20

1 115: Pediatric Empyema With Erik and Nykole, Critical Care Transport Nurses 45:05

1 113: How to be the BEST Nursing Preceptor EVER! 39:09


1 111: Liver Failure Part 4: Hepatic Encephalopathy vs Alcohol Withdrawal 27:49

1 110: Liver Failure Part 3: Hepatorenal Syndrome 17:20

1 109: Liver Failure Part 2: Esophageal Varices 25:22

1 108: Liver Failure Part 1: Spontaneous Bacterial Peritonitis 24:36


1 106: Are Nursing Care Plans an Absolute Waste of Time? With Flight Nurse and Educator Nurse Gwenny 46:38

1 105: So You Want to Go Back to School Part 2 With Guest Nurse Educator Patrick McMurray 47:15

1 104: Obstructive Shock With Guests Bryan Boling and Brandon Oto From the Critical Care Scenarios Podcast 53:11

1 103: Should Families Be Allowed to be Present During Resuscitation? 47:41

1 102: SIADH vs DI With Guest Nick McGowan RN, MSN 40:17

1 BONUS PodSwap: RSI Drugs with Nurse Mo From Straight A Nursing Podcast 19:56

1 101: So You Wanna Go Back to School Part 1: Nurse Practitioner With Guest Dr. Sandra Pagenta DNP 40:18

1 100: How to Still Love Being a Nurse After 20 Years in the Profession 25:30

1 99: Hyponatremia: How Did It Happen and Why Is It So Challenging To Treat? 23:56

1 98: "Broken Heart Syndrome" aka Takotsubo Cardiomyopathy 22:18
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