Shortness of Breath Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

Which patients should you consider using NIPPV for?

A
moderate to severe dyspnea
accessory muscle use
paradoxical abdominal movement
fatigue
RR over 25
pH<7.35
pCO2>45
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2
Q

When shouldn’t you use NIPPV?

A
respiratory arrest/absent respiratory drive
hemodynamic instability
aspiration risk
airway obstruction
unable to tolerate mask
mask does not fit
AMS
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3
Q

What are the key elements of the history in SOB?

A
sudden onset?
chronic or recurrent?
positional or exertional?
precipitating events?
pertinent past med history - COPD, asthms, CHF?
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4
Q

What are the key physical exam elements in SOB?

A
visible airway swelling?
voice changes/stridor/drooling?
absent or diminished breath sounds?
wheezing?
Rales?
JVD/peripheral edema?
leg swelling/tenderness?
signs of chest trauma?
tripoding?
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5
Q

What additional tests should you run on a patient with SOB?

A

EKG
Chest x-ray
Chest CT for atypical infections, traumas, PE or aortic pathology
Bedside US for pneumothorax, effusion or consolitation
Labs: D-dimer, BNP, troponin

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6
Q

What should you have on your critical differential diagnosis for SOB?

A
acute CHF
ACS
anaphylaxis
asthma/copd exac
cardiac tamponade
plmonary edema
PE
pneumonia
pneumothorax
upper airway obstruction
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