Dyspnea Flashcards
1
Q
4 Sx of dyspnea
A
breathing discomfort
- air hinger
- chest tightness
- heavy breathing
- inability to get a deep breath
2
Q
what causes air hunger
A
J-receptors - sensing acidosis
3
Q
what causes chest tightness
A
bronchoconstriction
4
Q
what causes heavy breathing
A
increased work of breathing
5
Q
5 acute dyspnea cause cats.
A
- upper airway
- pulmonary
- caridiac
- toxic/metabolic
- misc
6
Q
6 pulmonary causes
A
- PE
- COPD/asthma
- phenumothorax
- trauma
- infection
- hemmorage
7
Q
steps to approach of acute dyspnea
A
- stabilize
- screening exam
- initial Tx
- initial investigations
- Hx and Px
- consider further Tx
- consider further invest
- see slide
8
Q
6 signs of severe resp distess
A
- tachypnea
- indrawing and acces muscles
- inability to lie down
- can;t speak in sentences
- agitation
- cyanosis
9
Q
3 signs of impending resp failure
A
- reduces LOC
- inability to maintain resp efforts
- rising PCO2 and acidosis
10
Q
5 pulmonary causes of chronic dyspnea
A
- airway disease
- restrictive disease
- pulm. vasc. disease
- parenchymal disease
- pleural diseases
11
Q
3 parts to Hx for chronic
A
- onset and duration
- quantify Severtity
- exacerbating/alleviating Sx
12
Q
3 part of Phx
A
- resp
- cardiovascular
- gernela
13
Q
7 test for chronic
A
- CXR
- may show parenchymal dis, pleaural dis - bloods
- may see anemia, TSH - PFT
- CT
- ABGs
- ECG
- ecercise testing
14
Q
2 possibilities for obstructive and normal DLCO
A
- chronic bronchitis
2. asthma
15
Q
1 possibllity for obstructive and low DLCO
A
emphysema
