Respiratory Failure

Diagnosis
1. ABG analysis
2. CBC, electrolytes, urinalysis
3. ECG
4. V/Q lung scan (r/o PE)
5. ETCO2
6. Pulmonary Artery Catheter
7. Query Infection
  1. Chest Radiograph
  2. Sputum and blood cultures (C/S)
8. Differential
clinical manifestations
1. Subjective
2. Objective
  1. Respiratory
  2. Cardiovascular
  3. Gastrointestinal
  4. neurological
  5. Integumentary
  6. Laboratory
3. Early S/s
  1. Tachypnea
  2. tachycardia
  3. LOC changes
  4. Mild HTN
Tretatment
1. Expected PatientOutcomes
  1. Effective airway clearance
  2. Effective breathing pattern
  3. Normal Fluid balance
  4. Absence of hypoxemia S/s
  5. Normal gas exchange
  6. Balanced Nutrtion
2. Drug therapy
  1. Relief of Bronchospasm
  2. Reduce Airway Inflammation
  3. Reduce Pulmonary Congestion
  4. Treatment of Infection
  5. Reduction of anxiety and restlessness
3. Respiratory Therapy
  1. Positive Pressure Ventilation
  2. O2 Therapy
    1. CPAP
    2. Intubation
    3. Non-rebreather
    4. Venturi
    5. Nasal Cannula
  3. Management of Secretions
4. Nutritional Therapy
  1. Parental nutrtion support
  2. enteral nutriton support
5. Medical Supportive Therapy
  1. Management of underlying cause of respiratory failure
  2. Maintenance of adequate CO
  3. Maintenance of Adequate [Hgb]
Hypoxemic
1. Etiology
  1. Cardiovascular
    1. V/Q mismatch
  2. Respiratory
2. PRCENT
  1. Paradoxical breathing
  2. Retractions
  3. Cyanosis (late)
  4. Expiration Prolonged
  5. Nasal Flaring
  6. Tachypnea
Hypercarbia
1. Etiology
  1. Respiratory
  2. CNS
  3. Chest Wall
  4. Neuromuscular
2. Pursed Lip Breathing
3. Morning Headache
4. Rapid/shallow hyperventilation
5. Tripod Positioning
6. PMRT

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Respiratory Failure

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	Created by Alastair Howe over 8 years ago