46 results
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
• High work of breathing ... increased work of breathing ... of baseline Treatments ... #CriticalCare #pulmonary ... #management #treatment
Tracheal Descent Sign

Paradoxical inward movement of the trachea during inspiration. Seen in this COPD patient in
Seen in this COPD ... patient in severe respiratory ... #physicalexam #respiratory ... #pulmonary #breathing ... #Trachea #COPD
Paradoxic Breathing in Pediatric Respiratory Distress - Improved after nebulizers and HFNC

Inward chest wall movement with
Paradoxic Breathing ... in Pediatric Respiratory ... as a results of ventilation ... #Respiratory #Distress ... clinical #Video #Pulmonary
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
Response Management Algorithm ... pneumothorax, COPD ... RR < 12 / shallow ... breathing - Hypoventilation ... #rapid #pulmonary
Important Respiratory Distress Pearls

#diagnosis #respiratory #distress #NRDS #RDS #TTN #MAS #neonatal #pediatric #adult #respiratory #adverse #effects
Important Respiratory ... #diagnosis #respiratory ... pediatric #adult #respiratory ... adverse #effects #pulmonary ... #ventilation #algorithm
Abnormalities in Rate and Rhythm of Breathing 
Normal 
The respiratory rate is about 14—20 per min
Normal The respiratory ... Rapid Shallow Breathing ... , drug-induced respiratory ... bronchitis, and COPD ... #Pulmonary #Abnormalities
Tachypnea - Differential Diagnosis Framework

Definitions
 • Tachypnea: Respiratory rate > 20/min, shallow breathing in adults
 •
• Tachypnea: Respiratory ... rate > 20/min, shallow ... breathing in adults ... > 20/min, deep breathing ... • Asthma • COPD
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Positive Pressure Ventilation ... In COPD, decreases ... exacerbation (cardiogenic pulmonary ... edema) • COPD ... PositivePressure #Ventilation
First-line therapies for Asthma, Asthma-COPD Overlap and COPD

The diagnosis of COPD, asthma, and ACO initially requires
Overlap and COPD ... of exposure to respiratory ... and pattern of respiratory ... #Differences #Algorithm ... #Treatment
COPD Physical Exam Likelihood Ratios
Barrel Chest - LR 1.5
Pursed Lip Breathing - LR 2.7
Reduced breath sounds
COPD Physical Exam ... 1.5 Pursed Lip Breathing ... LR 11.8 Early inspiratory ... SatyaPatelMD #COPD ... LRs #diagnosis #pulmonary