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HealthDyspnea Management
By Kit
Category: Health. Viewed 2901 times. Created August 2013.     Disclaimer.   
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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