Professional Documents
Culture Documents
Objectives
List the clinical manifestations of common alterations in respiratory function Outline the critical care management of patients with alterations in respiratory function
Pulmonary Oedema
Case
75yo BIBA w/ 1/52 HO SOB Sp02 86% on RA 98% on HM @ 6LPM. HR 155, BP 105/55, peripherally cool. T: 38.6 GCS 14 (E: 4 V: 4 M:6)
Assessment
Physical Assessment R) chest wall expansion Tactile fermatas AE R) lower lobe Blood work-up WCC CXR ECG
Case
Case
Management
Pneumonia
Tuberculosis
Pulmonary Oedema
Traumatic Injury
Rib #s
Traumatic Injury
Traumatic Injury
Tension pneumothorax
Heamothorax
Traumatic Injury
Chest Drains
Chest Drains
Chest Drains
Chest Drains
Chest Drains
Chest Drains
Chest Drains
Chest Drains
Chest Drains
Chest Drains
Neurological Disease
Spinal cord disease Motor nerve disease Infectious disease Muscle-wasting disease
Acute Bronchitis
Bronchiectasis
Industrial Illness
Reduced perfusion Increased capillary permeability Direct tissue and capillary insult Other mechanism
Tachypnoea Cyanosis Diaphoresis Tachycardia Hyperventilation Scattered crackles Increased work of breathing Agitation Lethargy Decreased LOC
PaO2/Fio2 ratio < 300 (ALI) PaO2/Fio2 ratio < 200 (ARDS) (ALI is milder than ARDS that may or may not progress onto ARDS)
Oxygen Therapy
Nasal Prongs
Oxygen Therapy
Hudson Mask
Oxygen Therapy
Non-Rebreather Mask
Oxygen Therapy
Venturi Mask
Oxygen Therapy