Definition What is respiratory distress Respiratory

Definition

What is respiratory distress?

Respiratory Definitions

Goals of this presentation

My Philosophy of teaching:

What is NOT Dyspnea?

Case 1

Case 1 – additional history

Case 1

Approach to the patient with shortness of breath, or respiratory distress: the emergency approach.

1: Degree of urgency

2. Assess patient.

3. Locate the problem

4. Correct it

Suspicion

Ask (yourself) questions.

What is the purpose of respiration:

Abnormal atmosphere

Other substances

Mechanical Airway Obstruction

Muscular / Chest Wall system

Air to blood interface:

Causes of dyspnea

Tools to evaluate dyspnea

What other tools?

Additional items of history

Cough

Aphorism

Vital Signs

Vital Signs

Vital Signs:

Pulse Ox

VS - Combinations:

Focused exam

Physical Exam

Scratch Test

Afferent neurons

Efferent signals

Central Processing

MRC Breathlessness Scale

Causes of dyspnea

Chest radiography (CXR)

CXR 1

CXR 2

CXR 3

ECG

EKGs (TB Inserted)

Arterial Blood Gases (ABG)

ABG and Acid base balance.

p. H

Pa. CO 2

Pa. O 2

Ventilation / Perfusion Scanning (V/Q Scan)

CT Scan of the Chest

Ultrasonography & Echocardiography

Specific entities:

Asthma:

Pulmonary edema:

Pulmonary edema:

Pulmonary edema

Diabetic Keto. Acidosis DKA

Pneumo / hemo thorax.

Pneumonia

Pulmonary Embolism

Emphysema

CO poisoning:

Cyanide poisoning:

Summary:

REFERENCES