Table of contents:
- What is the Handling Procedure in Code Blue Asthma?
- First Aid for Asthma Patients with Severe Shortness of Breath
Code blue is one of the emergency codes in the hospital. This code indicates that a patient is in cardiac arrest or respiratory failure and needs immediate help. So, code blue asthma can mean that a patient has stopped breathing due to asthma
In the protocol for patient care in hospitals, code terms are known. This code is represented by various colors and each color has a different meaning. The code allows the medical staff in the hospital to respond quickly to any emergency or other condition according to the color code.
One of the codes that are often used in hospitals is code blue or code blue. As previously explained, a blue code is issued when a patient experiences cardiac or respiratory arrest.
This emergency condition can occur in patients suffering from certain diseases, such as:
- Heart problems, such as heart attack, heart failure, or heart rhythm disturbances (arrhythmias)
- Asthma attack
Well, code blue asthma means that there are patients in the hospital who experience respiratory arrest or respiratory failure due to asthma.
What is the Handling Procedure in Code Blue Asthma?
Each hospital has a different code blue asthma protocol. However, the goal of this emergency treatment procedure remains the same, namely to save patients who experience respiratory failure due to asthma.
The code blue asthma protocol involves doctors, nurses, and the anesthesia team. The following are the steps for handling patients when code blue asthma occurs:
If the patient has stopped breathing in the inpatient room, medical assistance will be carried out at the patient's bed. If the respiratory arrest does not occur while the patient is being hospitalized, then the help is carried out in the ER.
When treating a patient who is in a condition of code blue asthma, the doctor will first check the patient's vital signs, such as pulse, breathing, blood pressure, and the patient's level of consciousness.
Furthermore, the doctor will perform a cardiopulmonary resuscitation (CPR) procedure so that the patient continues to get oxygen supply and the blood flow in his body does not stop. CPR, also known as CPR, is performed by opening or widening the airway, giving breathing assistance, and pressing the chest.
If the patient is still unable to breathe on his own and his heart rate is undetectable or irregular, the doctor will administer an electric current through a cardiac shock device called a defibrillator.
The use of a defibrillator in combination with CPR aims to restore and stabilize the patient's heart rhythm. If the first attempt fails to restore the patient's heart rate, the doctor will perform cardiac arrest and CPR again, usually with a larger electric current.
If the patient's heart is beating again, the doctor or nurse will install a breathing apparatus to provide oxygen to the patient and an intravenous line to deliver fluids and drugs to stabilize the patient's condition.
After the doctor has confirmed the patient's condition has stabilized and the emergency assistance in the code blue has been carried out, the patient will undergo treatment and monitoring.The doctor will also carry out further treatment to address the cause of the patient experiencing respiratory failure.
For patients with respiratory failure caused by asthma, the doctor will give asthma medications to widen the airway and prevent recurrence or worsening of asthma again. If necessary, the doctor may install a ventilator to help the patient breathe.
Drugs for asthma, such as bronchodilators, adrenaline, and corticosteroids, can be given through an IV or through a tube connected to the patient's airway (endotracheal tube / ETT).
First Aid for Asthma Patients with Severe Shortness of Breath
When people with asthma experience severe shortness of breath or do not get better with their usual medications, do the following:
Call for medical help
Immediately call an ambulance or arrange transportation to take someone with asthma to the hospital. If it is difficult to call an ambulance, asthmatics need to ask someone else for help.
While waiting for the ambulance to arrive, asthmatics are advised not to panic. Sit in an upright position or lean forward slightly and loosen the clothes so they don't get too tight.
Use asthma symptom reliever (controller)
When shortness of breath recurs, asthmatics need to use asthma medications that work to relieve asthma attacks. Drugs that function as controllers are usually available in inhaled preparations and are used using an inhaler or nebulizer.
To use asthma medication in inhaler form, remove the inhaler cap, then shake and connect the inhaler to the spacer. Next, attach the mouthpiece to the spacer.
After that, place the mouthpiece into your mouth, then press the inhaler once. After that, inhale through your mouth slowly and hold your breath for 10 seconds.
Spray the inhaler 4 times at 1 minute intervals for each spray. If the shortness of breath does not improve or if the asthmatic person is still having difficulty breathing, give another 4 inhaler sprays at equal intervals.
If there is still no change, do the same thing by giving 4 sprays of inhaler every minute until the ambulance arrives.
During an asthma attack, always accompany the sufferer and try to keep the patient calm. When asthmatics panic, the shortness of breath they experience can get worse.
Stop breathing which is an indication of code blue asthma is an emergency condition that can cause death if not treated immediately. Therefore, people who fall under the condition of code blue asthma, both inside and outside the hospital, need to get doctor's help as soon as possible.