Respiratory Study Chart Module 3 PDF

Respiratory Study Chart Module 3 Diagnosis Subjective Data Objective Data Differential Essential Plan Parts Info Diagnoses Location Respiratory Asthma*...

Respiratory Study Chart Module 3 Diagnosis Subjective Data Objective Data Differential Essential Plan Parts Info Diagnoses Location Respiratory Asthma* Coughing fits (often at night or Wheezing (usually on Upper airway Stepwise approach early morning) expiration) issues: Croup, vocal Pt education Wheezing (that telltale Rapid breathing cord dysfunction Referral: whistle) (respiratory rate > Lower respiratory Pulmonology - if no Feeling short of breath 30/min in severe conditions: improvement is seen Chest tightness or pressure cases) Pneumonia, COPD, or despite using stepwise Sputum production Tachycardia (heart even cardiac approach; Primary Anxiety rate > 120/min in problems care - hand off to a severe cases) GERD: Because reflux seasoned PCP for long Breathlessness, loves to complicate term management; tripoding, diaphoresis, things Emergency anxiety and visible department - for distress may be severe symptoms present as well. Acute Persistent, nagging cough Afebrile or low-grade Simple URI (common Encourage rest and Bronchitis (productive or nonproductive) fever cold) increased fluid intake Substernal pain when they Wheezing, rhonchi, or Reflux esophagitis Use humidifiers or breathe deeply rales Acute asthma warm showers to ease Runny nose Persistent cough Bronchiolitis the coughing Sore throat (typically lasting 3 COPD Smoking cessation is weeks) Pneumonia crucial Prolonged cough Pt will have normal Patience: Symptoms can vital signs without last up to three weeks signs of tachypnea, Antibiotics aren’t tachycardia, rales, or needed because almost egophony all cases are viral Influenza Fever Flushed RSV Symptom management Chills Watery eyes COVID Antiviral medication Headache Febrile URI (Tamiflu) Malaise Hot and moist skin Pneumonia Myalgia Swollen cervical Strep Loss of appetite lymph nodes Cough Inflamed nasal Sore throat passages Nasal congestion Normal chest exam COVID – 19 Community Acute onset: It hits hard and Fever and Acute bronchitis For healthy Acquired fast - think raging fire. cough: Will very Asthma patients: Amoxicillin is Pneumonia Fever: Measured and likely be present COPD exacerbation your go-to. (CAP)* unmistakable. Abnormal lung Lung cancer Not improving in 48 Bacterial (i.e. Productive cough: Copious sounds: Crackles and Heart failure hours? Upgrade Strep) sputum - yellow, green or rhonchi. Pulmonary embolism to Augmentin for brown. Egophony, broader coverage. Pleuritic chest pain: Painful! bronchophony, PCN allergy (non- Breathing hurts, especially with tactile fremitus: Be pregnant): deep inspiration. sure to do a Doxycycline is very Possible other comprehensive lung effective. symptoms: Shortness of breath, check  tachycardia, and tachypnea, Signsof Immunocompromised nausea, vomiting and loss of distress: Tachypnea, or comorbidities: Dual appetite hypoxia, and a therapy with generally miserable- Augmentin + looking patient. Azithromycin or Doxycycline. Pregnant with PCN allergy: Dual therapy with Azithromycin + Clindamycin or a third- generation cephalosporin (Cefpodoxime). CAP Atypical Gradual onset: It sneaks up on Dry cough: Will Acute bronchitis Azithromycin (Mycoplasma) you - think slow burn. likely be present on Asthma Persistent dry cough: No exam, especially when COPD exacerbation phlegm, just stubborn and the patient takes Lung cancer exhaustingly annoying. deep inspirations. Heart failure Low-grade fever, malaise, and Abnormal breath Pulmonary embolism fatigue: Basically, your patient sounds: Crackles and feels run down and super rhonchi fatigued - they just “want to Signs of sleep”. illness: Tachypnea, tachycardia, and a generally exhausted- looking patient. CAP+Viral* Cough, fever, chills, and Breath sounds: Acute bronchitis Supportive care: Rest, muscle aches: Classic viral Crackles, rales, and Asthma fluids, OTC medications presentation bronchial sounds (on COPD exacerbation (i.e., NSAIDs) and TLC Fatigue: profoundly “wiped out” expiration) near the Lung cancer Antivirals for specific trachea Heart failure viruses: Think Dullness to Pulmonary embolism oseltamivir (Tamiflu) percussion: over lung for influenza - fields especially for Egophony and immunocompromised bronchophony: Very and pregnancy likely present Tuberculosis Latent tb: no symptoms Rales in the upper Pneumonia Latent TB: Treatment (TB) Active tb: posterior portion of Acute bronchitis involves a short chronic cough lasting more the chest Lung cancer course (3-4 months) of than 3 weeks Pleural effusion Rifampin or Isoniazid chest pain Lymphadenopathy based therapy hemoptysis Weight loss Active TB: Treatment fatigue fever involves a long course weight loss (6-9 months) of night sweats Rifampicin, Isoniazid, Pyrazinamide and Ethambutol Patient education on adherence to medication regimens and the importance of completing the entire course of treatment is  crucial in preventing drug resistance and ensuring successful outcomes. *Asthma and CAP use course readings for management not the textbook, see module Respiratory Readings.