RESPIRATORY
RESPIRATORY - GENERAL
PromptCauses of dyspnoea with clear lung examination
ResponsePE
Tampondae
ACS/STEMI
Arrhythmia
Pulmonary hypertension (ECG P. pulmonale, R heart strain, prominent pulmonary vessels + cardiomegaly on XR)
Anaemia
Acidosis (including DKA)
Salicylate poisoning
Anxiety (resp alkalosis on gas)
Tampondae
ACS/STEMI
Arrhythmia
Pulmonary hypertension (ECG P. pulmonale, R heart strain, prominent pulmonary vessels + cardiomegaly on XR)
Anaemia
Acidosis (including DKA)
Salicylate poisoning
Anxiety (resp alkalosis on gas)
PromptNIV
Response
PromptContraindications to NIV
ResponseDecreased LOC
Not initiating own breaths
Vomiting
Large haemoptysis
Facial abnormalities
Patient intolerance
Inappropriate level of care
Not initiating own breaths
Vomiting
Large haemoptysis
Facial abnormalities
Patient intolerance
Inappropriate level of care
PromptManagement of NIV with unchanged blood gas at 1 hour
ResponseIncrease iPAP >> increased TV and hence ventilation (to remove CO2)
Increase FiO2 or increase PEEP - improve O2
Increase FiO2 or increase PEEP - improve O2