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Respiratory Problems Asthma Anaphylaxis Anxiety
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What do you do? Figure out what is going on so you can fix the problem!!!
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S/S of DYSPNEA What are some signs & symptoms of difficulty breathing?
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Common Respiratory Problems Asthma anaphylaxis anxiety
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Asthma Affects nearly 10 million Americans 4-5,000 deaths per year
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Definition of Asthma Reversible airflow obstruction caused by bronchial smooth muscle contraction,
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Definition of Asthma, ctd Excess mucus secretion resulting in bronchial plugging, and….
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Definition of Asthma, ctd Inflammatory changes in the bronchial walls.
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Signs and Symptoms of Asthma Known history of asthma obvious respiratory distress
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Signs and Symptoms of Asthma Rapid breathing (>30) cough, tightness in chest
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Signs and Symptoms of Asthma Inability to speak full sentences labored breathing
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Signs and Symptoms of Asthma Diaphoresis (sweating) pale or cyanotic nails/skin/lips
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Signs and Symptoms of Asthma “tripod position” audible wheezing prolonged expiratory phase
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Treatment of Asthma Call 911! Allow patient to stay in most comfortable position have patient use own inhalers if possible
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Treatment of Asthma Take vital signs and write them down remind patient to keep breathing!
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Anaphylaxis Severe allergic reaction causes 400-800 deaths each year
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Signs and Symptoms of Anaphylaxis Patient may know they are having allergic rxn obvious respiratory distress
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Signs and Symptoms of Anaphylaxis Tightness in throat and chest audible wheezing on inhale AND exhale
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Signs and Symptoms of Anaphylaxis Runny nose tearing hives Flushed, red skin swelling
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Signs and Symptoms of Anaphylaxis May have low BP due to shock
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Treatment of Anaphylaxis Have patient use inhalers or epipen if possible; benadryl.
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Hyperventilation Often called an “anxiety attack” or “panic attack” no related deaths
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“Anxiety Attacks” This patient is very upset, terrified of dying, and has the feeling that it is…..
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“Anxiety Attacks” Impossible to get enough air into the chest, even though there is really…..
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“Anxiety Attacks” More air than usual being exchanged. This person has TOO much oxygen!
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S/S of “Anxiety Attacks” Rapid, deep breathing or gasping for air flushed, red appearance diaphoresis
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S/S of “Anxiety Attacks” Dizziness rapid heart beat normal or high BP
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S/S of “Anxiety Attacks” This person will complain of numbness and tingling to fingers and toes!
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Tx of “Anxiety Attacks” Be careful to take a complete history and not miss something more serious going on.
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Tx of “Anxiety Attacks” Calm the patient have them slow breathing, in through nose, out through mouth
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Tx of “Anxiety Attacks” Paper bag (only if you’re 100% sure it’s not something more serious!)
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