HealthDyspnea Management
A SelectSmart.com Flowchart by Kit
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Acute respiratory distress
 
 




YES


NO



 
-Agitation -AMS -Diaphoresis -Retractions -Fragmented speech -Inability to lay supine Trauma
 
Attain detailed history
 



YES

NO





 
Immediate management
General exam
-Past history -Prior intubation -Historical features -Timing -Severity -Chest pain
 









 
-O2 -Determine need for airway -Establish likely cause -IV access -ECG -CXR
-RR -Pulse ox -Vitals -Breath sounds
Ancillary tests
 









 
 
Disposition
-CXR -ECG -Cardiac enzymes -BNP -D-Dimer -ABG/VBG -CO2 monitoring -Chest CT -V/Q scan -PFT/peak flow
 









 
Improved/stable
No improvement/Unstable
Worsening condition or critical condition
 



YES

NO

YES


YES


 
Home with follow up instructions
Admit to hospital floor
Admit to ICU