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Ch. 47

Common causes of dyspnea

causesigns and symptomsEmergancy managment
partial foreign body airway obstruction universal sign of choking, abnormal breath sounds, cyanosis allow the person to cough, of efforts become weak and ineffective begin Heimlich, summon EMS
asthma attack mild to severe wheezing, dyspnea, possible coughing assist pt to use an inhaler if he has one, administer meds such as a nebulizer per order
anaphylaxis stridorous breath sounds as the airway closes, wheezing, anxiety, possibly blotchy skin w/ hives, possibly rapid decreasing blood pressure administer meds per order, which may include epinephrine, prednisone, and antihistamines, apply O2 per order
pneumonia chest discomfort with breathing, productive cough with yellow or green sputum, general ill appearance, mild to moderate dyspnea pneumonia is not an emergency, antibiotics per order, O2 per order
chronic obstructive pulmonary disease mild to sever dyspnea, wheezing, prolonged expiratory phase, other signs of dyspnea depending on severity administer O2 and medication per order
pneumothorax dyspnea, sharp chest pain w/ inspiration, cyanosis, decreased O sat, tachycardia, hypotension, tachpnea, anxiety, decreased or absent breath sounds on affected side administer O2, place an occlusive dressing over the injury site taped on 3 sides, position the pt for comfort and optimal lung expansion, prepare to assist w/ possible chest tube
Myocardial infarction dyspnea as primary symptom administer O2, morphine, nitro, aspirin, thrombolytic agents, and anti-arrythmic agents, instruct pt to rest in a position of comfort, provide BCLS or ACLS as needed
complete foreign body airway obstruction universal sign of choking, absent breath sounds, rapid development of cyanosis and loss of consciousness call for immediate assistance, ask if choking, Heimlich if so. check mouth of an unconscious person
Created by: rewebb
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