5 Questions
What are the signs of mild respiratory distress?
Shortness of breath, wheezes, cough, tachypnea, increased respiratory effort, decreased air movement, normal O2 saturations (> 94%); normal capnography
What should be considered if the clinical picture suggests congestive heart failure (CHF)?
Refer to CHF Protocol
What should be done if the patient's clinical picture suggests upper airway obstruction?
Use BLS choking maneuvers or Magill forceps removal
What should be administered if the clinical picture suggests asthma or COPD, with wheezing or poor air movement?
A. Albuterol 2.5 mg with Atrovent 500 mcg via nebulizer, may repeat twice B. Consider Solumedrol 125 mg IV/IO/IM C. If patient improves, maintain SpO2 > 94% with supplemental oxygen D. Consider 500 ml IV/IO NS/LR fluid bolus if no CHF suspicion, then TKO E. If no improvement, proceed to Respiratory Distress (Severe) Protocol
What should be done if there is no improvement in a patient presenting with asthma or COPD symptoms?
Proceed to Respiratory Distress (Severe) Protocol
Test your knowledge on assessing levels of respiratory distress based on symptoms and vital signs, and learn the appropriate initial therapy and diagnostic steps.
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