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Patient Case

Patient Case. 54 y/o female H/O HTN, DM, Sz, OSA, Obesity c/o SOB in her medical floor bed VS’s: T 101 PO, BP 135/72, RR 36, HR 93 SO2 76% P.Ex: Moderate distress, tachypneic, dusky, awake, confused, clear bilat. BS’s. VITAL SIGNS. Respiratory rate Respiratory pattern Pulse oximetry

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Patient Case

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  1. Patient Case • 54 y/o female • H/O HTN, DM, Sz, OSA, Obesity • c/o SOB in her medical floor bed • VS’s: T 101 PO, BP 135/72, RR 36, HR 93 • SO2 76% • P.Ex: Moderate distress, tachypneic, dusky, awake, confused, clear bilat. BS’s

  2. VITAL SIGNS • Respiratory rate • Respiratory pattern • Pulse oximetry • Blood Pressure • Temperature

  3. RESPIRATORY DANGER • Retraction – severe obstruction • Accessory muscle – fatigue • Paradox - fatigue • Speech pattern • Posture

  4. CARDIOPULMONARY EXAM • Upper airway • Chest exam • Extremities • Cyanosis • Perfusion • Diaphoresis

  5. AUSCULTORY EXAM • Stridor • Wheezing • Rales • Absent/diminished breath sounds • Percussion exam

  6. NEUROLOGIC EXAM • Somnolent/comatose • Primary • secondary • Agitated/distressed • Pupillary • Motor function

  7. URGENT ANCILLARIES • Arterial or venous blood gas • cooximetry • Chest X Ray

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