Clinical Scenarios: Respiratory Distress

  • Questions:
  •     - Is the airway secure?
  •     - What is the patient’s mental status?
  •     - Past history of pulmonary disease?
  •     - Breath sounds equal?
  •  
  • Workup:
  •     - ABG
  •     - CXR
  •     - EKG
  •     - CBC
  •     - BMP
  •  
  • Goals of Management:
  • Increase O2 delivery (FiO2)
  •     - NC→Facemask→Positive pressure
  • Determine if patient needs support/intubation
  • Consider etiologies
  •     - Aspiration?
  •     - Pneumonia?
  •     - Pneumothorax?
  •     - PE?
  •     - Asthma/COPD?
  • Get help
  •     - RRT, Anesthesia, trauma chief