A pre-hospital team is called to a patient with a known do-not-attempt-resuscitation order who has developed a severe asthma attack. He is in extremis...

Question

A pre-hospital team is called to a patient with a known do-not-attempt-resuscitation order who has developed a severe asthma attack. He is in extremis with SpO2 of 75% and exhaustion. His DNACPR states he does not want CPR if his heart stops. Can he still receive aggressive medical treatment for the asthma?

Accepted Answer

Yes - a DNACPR applies only to CPR in the event of cardiac or respiratory arrest; all other appropriate medical treatments including nebulisers, IV magnesium, IV aminophylline, adrenaline for bronchospasm, and even NIV should be provided

Answer

The DNACPR prevents any hospital admission

Answer

Only one nebuliser can be given, then treatment stops

Answer

No - a DNACPR means comfort care only for all conditions

Answer

Only oral medications can be given

uk-dipimc MCQ (SBA): DNACPR - Active Treatment