Breathlessness Flashcards
1
Q
Causes of sudden onset of breathlessness
A
Infections
Exacerbations of chronic diseases
Mechanical blockage ;PE, mucus plug, Lung collapse
2
Q
Why would BM increase
A
Stress response
3
Q
SIRS
A
Systemic Inflammatory Response Syndrome Temp >38.3 / <36 HR >90bpm RR >20bpm WCC>12 <4
4
Q
Interventions for
dec HR + dec BP
A
Normal Saline
or
Hartmann’s solutions
1L over 1hr or 250ml over 3mins
AIM - MAP >70
or Urine output >0.5 kg/hr
5
Q
Interventions for
Inc Temp
A
1g Paracetamol IV or PO
6
Q
Interventions for
Dec Sats
A
Titrate FiO2 with venturi mask to
95-98% - normal
88-92% - COPD
7
Q
Interventions for
Inc BM
A
a stress response
Consider insulin sliding scale
8
Q
Focal signs + Lack of wheeze
A
Unlikely to be a COPD exacerbation
