A 25-year-old female is brought into the Emergency Department with acute severe asthma. She is intubated and ventilated and transferred to the ICU.
a) Discuss your assessment and management to prevent the potential of the patient developing dynamic hyperinflation. (60% marks)
The patient becomes hypotensive.
b) Excluding worsening dynamic hyperinflation, list four likely differential diagnoses. (10% marks)
c) Outline one diagnostic investigation and one management strategy for each differential diagnosis.
Specific strategies to assess for, and to prevent dynamic hyperinflation in status asthmaticus, include:
Different possible reasons this patient is becoming hypotensive:
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