causes of respiratory distress - disease
trauma
foreign body airway obstruction
drugs
asthma - reactive airway disease
starts with bronchial constriction
emphysema - 95% is caused from smoking
breakdown of alveolar tissue (loss of surface area)
breakdown of elastic tissues
"PINK PUFFERS"
"pink puffers - Exhalation now requires energy
increased red blood cell count
Chronic bronchitis - often caused by environmental pollutants and smoking
Inflammation/excess mucus production in bronchi and bronchioles
"BLUE BLOATERS"
blue bloaters - hypoxia leading to cyanosis
pneumonia - infection of the lungs
pus and infectious materials blocks area of lungs
causes a lot of coughing
signs/symptoms of DKA - altered mental status
kussmauls respirations (very fast)
, dehydration
tachycardia
fruity odor to breath --> key stones
weakness
warm, flushed, dry skin
fatigue
hyperglycemia - slow onset
POLY'S
dehydration
dry, flushed, warm skin
rapid pulse
TREATMENT:
IV hydration
no oral glucose
hypoglycemia - altered mental status
rapid pulse
rapid onset
cool, pale, sweaty skin
TREATMENT:
oral sugar if responsive and able to swallow
diabetes supplies - bracelet, insulin suringe, pump
diabetic physical exam - level of responsivness
blood glucose levels
ABC's