medical emergencies
Download
Skip this Video
Download Presentation
Medical Emergencies

Loading in 2 Seconds...

play fullscreen
1 / 26

Medical Emergencies - PowerPoint PPT Presentation


  • 423 Views
  • Uploaded on

Medical Emergencies. Respiratory Disorders. Topics. Noninfectious Disorders Infectious Disorders. Noninfectious Disorders. ARDS Obstructive Airway Diseases Cystic Fibrosis Pulmonary Embolism Pickwickian syndrome Myasthenia Gravis Guillain-Barre Syndrome. Infectious Disorders.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Medical Emergencies' - Pat_Xavi


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
medical emergencies

Medical Emergencies

Respiratory Disorders

topics
Topics
  • Noninfectious Disorders
  • Infectious Disorders
noninfectious disorders
Noninfectious Disorders
  • ARDS
  • Obstructive Airway Diseases
  • Cystic Fibrosis
  • Pulmonary Embolism
  • Pickwickian syndrome
  • Myasthenia Gravis
  • Guillain-Barre Syndrome
infectious disorders
Infectious Disorders
  • Pleurisy
  • Pneumonia
  • Legionnaires’ Disease
  • Tuberculosis
adult respiratory distress syndrome
Adult Respiratory Distress Syndrome
  • AKA Noncardiogenic pulmonary edema
  • Increased membrane permeability
  • Complication rather than cause
    • Trauma
    • Infection (Sepsis)
    • Drug OD
    • Aspiration
ards pathophysiology
ARDS Pathophysiology
  • Increased permeability
  • Pulmonary edema
  • Surfactant destruction
  • Atelectasis
  • Decreased compliance
  • Hypoxemia
ards management
ARDS Management
  • High concentrations of oxygen
  • PEEP
  • CPAP
  • ECG Monitoring
  • Treat underlying cause
obstructive airway disease
Obstructive Airway Disease
  • Asthma
  • Chronic bronchitis
  • Emphysema
asthma
Asthma
  • Reactive Airway Disease
  • Often triggered by:
    • Cold temperature
    • Respiratory Infections
    • Vigorous exercise
    • Emotional Stress
asthma pathophysiology
Asthma Pathophysiology
  • Bronchial smooth muscle contraction
  • Increased mucus production
    • Bronchial ‘plugging’
    • Relative dehydration
  • Alveolar hypoventilation
  • Ventilation Perfusion Mismatch
  • CO2 retention
  • Air ‘Trapping’
asthma management
Asthma Management
  • Vigilant Assessment
  • High concentrations of oxygen
  • B2 Agonists (Albuterol, Terbutaline)
  • Anticholinergics (Ipratropium)
  • IV Fluid (rehydration)
  • ECG Monitoring
chronic bronchitis pathophysiology
Chronic Bronchitis Pathophysiology
  • Prolonged exposure to irritants
  • Excessive mucus secretion
  • Airway obstruction and restriction
  • Increased resistance
  • Hypercapnia -> pulmonary vasoconstriction -> V/Q mismatch
  • Pulmonary hypertension
  • Right ventricular hypertrophy
    • Cor Pulmonale
emphysema pathophysiology
Emphysema Pathophysiology
  • Destruction of alveoli
  • Decreased elasticity “recoil”
    • Air Trapping
    • Hyperinflation
  • Increased expiration difficulty
  • Saturation usually normal
  • Increased WOB
  • Thin appearance
copd assessment
COPD Assessment
  • Chronic condition: acute episode (exacerbation)
  • Typically dyspnea, S&S of hypoxemia
  • Use of accessory muscles
  • Increased expiratory effort
  • Tachycardia, AMS, Cyanosis
  • Wheezing, Rhonchi
copd management
COPD Management
  • Oxygen dictated by level of distress
  • TRUE HYPOXIC DRIVE RARE
  • Bronchodilators (albuterol, terbutaline)
  • IV Fluids (titrate to level of dehydration)
  • Anticholinergics as dictated by protocol
  • ECG Monitor
cystic fibrosis cf
Cystic Fibrosis (CF)
  • Inherited disorder
  • Increased mucus production
  • Mucus plugs
  • Presentation similar to Chronic Bronchitis
  • Management also similar
pulmonary embolism pe
Pulmonary Embolism (PE)
  • Occlusion of a pulmonary artery by a clot
  • Contributing factors
    • Venostasis
    • Surgery or trauma
    • Oral contraceptives
    • Pregnancy
    • DVT
    • A-Fib
pulmonary embolism
Pulmonary Embolism
  • Severity related to size
  • Rapid onset
  • Dyspnea, cough, hemoptysis, JVD
  • Pleuritic chest pain
  • Localized wheezing
  • Consider when no other cardio-respiratory diagnosis make fit.
pe management
PE Management
  • High concentration oxygen
  • IV
  • Aspirin
  • Thrombolytics
pickwickian syndrome
Pickwickian Syndrome
  • Extreme obesity
  • Form of sleep apnea
  • Treat symptomatically
myasthenia gravis
Myasthenia Gravis
  • Gradual onset of muscle weakness
    • Face and throat
  • Respiratory weakness -> paralysis
  • Inability to process mucus
  • Treat symptomatically
  • Watch for aspiration
gullain barre syndrome
Gullain-Barre Syndrome
  • Autoimmune disease leading to gradual de-myelination
  • Progressive tingling and weakness
    • Moves from extremities in
    • May lead to respiratory paralysis
  • Treat symptomatically
pleurisy
Pleurisy
  • Inflammation of the pleura
  • Commonly associated with other respiratory disease
  • Effusion or dry
  • Caused by friction rub
  • Sharp, sudden and intermittent chest pain with related dyspnea
    • Possibly referred to shoulder
    • May  or  with respiration
pneumonia
Pneumonia
  • Inflammation of the bronchioles and alveoli
    • Bacterial, viral or fungal
    • Aspiration
  • Commonly associated with other diseases
  • May lead to VQ Mismatch and hypoxemia
  • May have crackles
legionnaires disease
Legionnaires’ Disease
  • Acute bacterial infection with symptoms similar to pneumonia
  • Fever, anorexia, weakness, malaise, chills, N/V
  • Treat symptomatically
tuberculosis
Tuberculosis
  • Infectious airborne bacterial disease
  • Often causes fibrosis of lung
  • Tubercles & ‘Walling Off’ Effort
  • Early, latent and reactivation periods
  • Leads to VQ mismatch and hypoxemia
  • Treat symptomatically
  • Reduce exposure
ad