Question about a critical Ped

[Handsome Robb]

Not trying to jack this thread but I have a question, and I think the OP has already found the answers he was looking for.

I am a new medic, and was never taught about the use of mag sulfate in asthma/severe respiratory distress. I can research how that works and why to use it in those situations on my own... but my question is, why would you use Mag instead of Solu-Medrol? Is mag a better option?

Mag will relax the smooth muscles of the brochioles thus causing bronchodilation. As for mag vs. methylprednisolone, mag is going to act much faster. Nearly immediate onset vs. 60 minutes. Mag acts at the neuromuscular junction, limiting the release of acetylcholine. ***I think. That was my understanding of it, and a very, very simple understanding of it.***

That's my understanding of it. Corticosteroids aren't preferred for an emergent pt for the simple fact that the onset is too slow. They didn't talk about mag in your program??

Back to the OP, the kid is alive that's all that matters.

It sounds like CPAP may have been a good option if it was available since the kid did have spontaneous respirations after some treatments were in. If no CPAP, BVM with a bit of peep?

Sorry I skimmed, didn't see if it was mentioned already.

Either way you got the kid to the hospital and delivered him in, what sounds like, better shape than you found him

 

[Sublime]

Mag will relax the smooth muscles of the brochioles thus causing bronchodilation. As for mag vs. methylprednisolone, mag is going to act much faster. Nearly immediate onset vs. 60 minutes. Mag acts at the neuromuscular junction, limiting the release of acetylcholine. ***I think. That was my understanding of it, and a very, very simple understanding of it.***

That's my understanding of it. Corticosteroids aren't preferred for an emergent pt for the simple fact that the onset is too slow. They didn't talk about mag in your program??

Back to the OP, the kid is alive that's all that matters.

It sounds like CPAP may have been a good option if it was available since the kid did have spontaneous respirations after some treatments were in. If no CPAP, BVM with a bit of peep?

Sorry I skimmed, didn't see if it was mentioned already.

Either way you got the kid to the hospital and delivered him in, what sounds like, better shape than you found him

Thanks for clearing that up, makes sense. We learned about the use of Mag for treatment of torsades and seizures in pregnant patients, never for bronchodilation.