M14 - Respiratory Distress

Question 1

_____ is a very important clinical sign of illness. ___ ___ is the most sensitive marker of critical illness, and ___ ___ ___ have been known to predict _ _ _ admission and ___ ___. Increased ___ ___ ___ includes ____, but also includes ___ and ____ recession, ___ ___ use, and ___ nodding. These signs are also vital to assess in respiratory distress. _____ due to anxiety and emotional distress may cause ____, ____ around the ___ and ____, or ___-___ spasm due to low _____ (and subsequent ____)

Answer 1

Tachypnoea
Respiratory rate, high respiratory rates, ICU, cardiac arrest.
Effort of breathing, Tachypnoea, intercostal, subcostal, accessory muscle, head
Hyperventilation, faintness, tingling, mouth, extremities, Carpo-pedal, PCO2, hypocalcaemia

Question 2

Treatment:

1. __ ___ (__)
2. Life threatening conditions: ___ or ____ breathing may be a sign of serious illness. Consider life threatening causes of Tachypnoea (x13 on next slide)
3. Treat life threatening conditions if present: ___ (___) if indicated, ____, and ___ ___ (___)
4. Reversible conditions: If serious illness has been excluded, consider and treat reversible causes of Tachypnoea (x4)
5. Regularly repeat…

Answer 2

1. Patient care (A2)
2. Rapid, deep.
3. Oxygen (221), cannulation, urgent transport (A8)
4. Anxiety, emotional distress, exercise, pain
5. Regularly repeat and document ABCD physical examinations and physiological observations in order to identify trends in clinical deterioration.

Question 3

13x life threatening conditions causing respiratory distress

Answer 3

• Asthma
• Cardiac dysrhythmias
• COPD
• Drug overdose
• Fever and infection
• Foreign body aspiration
• Head injury
• Hyperglycaemia/DKA
• Hypoxia
• Metabolic acidosis
• Pulmonary embolism
• Sepsis
• Stoke