Treatment in PICU:
» Continue IV bronchodilators, continuous nebulizations, anticholinergics, steroids and O2.
» Treatment of acidosis:
» acidosis is caused by hypoxemia, hypoperfusion and respiratory failure. acidosis.
» It leads to myocardial depression, decreased effectiveness of B-agonists and ineffective rapid shallow breathing.
» Correct metabolic by giving bicarbonate (keep pH > 7.20) 1 meq/kg.
» May be given to prevent ineffective ventilation and interference with nebulization therapy.
» Preferably use those with bronchodilating effect e.g. Haloperidol or ketamine.
» Use only in PICU setting or when patient on ventilator.