Download Free Medical Approach to the Patient with Dyspnea PowerPoint Presentation

Approach to the Patient with Dyspnea PowerPoint Presentation

DOWNLOAD MEDICAL POWERPOINT PRESENTATION

About This Presentation

Description : Check out this medical presentation on Diastolic Heart Failure, which is titled "Approach to the Patient with Dyspnea", to know about the approach to the patient with dyspnea.

Tags : Diastolic Heart Failure, Approach, Patient, Dyspnea

Published on : Jul 01, 2021 | Views : 2164 | Downloads : 11

Shareable Url :

Embed Code :

Comment

Transcript

Slide 1-

APPROACH TO THE PATIENT WITH DYSPNEA Dr. Rajendra Prasad
Slide 2-

ppt slide no 2 content not found
Slide 3-

ppt slide no 3 content not found
Slide 4-

Breathless patient Oxygen (15 L) via NRB mask with 15l/Min o2 CBC, CBG, ECG,ABG,UREA, CREAT,CXR, USG THORAX HAEMODYNAMICALLY UNSTABLE HEMODYNAMICALLY STABLE
Slide 5-

ppt slide no 5 content not found
Slide 6-

ppt slide no 6 content not found
Slide 7-

ppt slide no 7 content not found
Slide 8-

ppt slide no 8 content not found
Slide 9-

ppt slide no 9 content not found
Slide 10-

ppt slide no 10 content not found
Slide 11-

CIRCULATION IV ACCESS MONITOR CENTRAL VEIN ACCESS MEDICATION IVF : CVP GUIDED VT/SVT CARDIOVERSION TYPE II H.B, COMPLETE H.B PREPARE FOR TCP CONSIDER ATROPINE ADRENALINE DOPAMINE ↑ CVP NORMAL CVP PUL.EDEMA PTE PaO2/FiO2 < 300 < 200 ALI ARDS IF UNAVAILABLE
Slide 12-

ppt slide no 12 content not found
Slide 13-

ppt slide no 13 content not found
Slide 14-

ppt slide no 14 content not found
Slide 15-

ppt slide no 15 content not found
Slide 16-

PUL.EDEMA MANAGEMENT
Slide 17-

ppt slide no 17 content not found
Slide 18-

ppt slide no 18 content not found
Slide 19-

ppt slide no 19 content not found
Slide 20-

ppt slide no 20 content not found
Slide 21-

ppt slide no 21 content not found
Slide 22-

TREATING ASTHMA
Slide 23-

ANGIOEDEMA
Slide 24-

Unexplained tachypnoea, tachycardia, Hypoxia –Suspect PTE
Slide 25-

PULMONARY EMBOLISM FLEISCHNER’S SIGN local widening of pulmonary artery due to distension from clot. WESTERMARK’S SIGN darker area of reduced perfusion HAMPTON’S HUMP segmental pleurally based wedge shaped opacity representing a pulmonary infarct.
Slide 26-

BREAK THE BLOCK Enoxaparin 1mg/kg twice daily Warfarin started at 5mg/day . can go upto 7.5 or 10mg/day 100mg of tPA as continuous peripheral iv infusion for 2 hrs : 15mg bolus and 85 mg infusion x 2hrs
Slide 27-

ACUTE SALICYLATE INTOXICATION Ingestion of less than 150 mg/kg may produce "mild" toxicity, with nausea, vomiting, and GI irritation
Slide 28-

ACUTE SALICYLATE INTOXICATION Ingestion of 150 to 300 mg/kg may produce "mild to moderate" toxicity, with vomiting, hyperpnea, diaphoresis, tinnitus, and acid-base disturbances. Acute ingestion of more than 300 mg/kg may produce "severe" toxicity.
Slide 29-

LETS ANNIHILATE SALICYLATE!!!
Slide 30-

AMNIOTIC FLUID EMBOLISM
Slide 31-

AMNIOTIC FLUID EMBOLISM Phase I, pulmonary artery vasospasm with pulmonary hypertension and elevated right ventricular pressure cause hypoxia. Hypoxia causes myocardial capillary damage and pulmonary capillary damage, left heart failure, and acute respiratory distress syndrome Phase II. This is a hemorrhagic phase characterized by massive hemorrhage with uterine atony and DIC; however, fatal consumptive coagulopathy may be the initial presentation. If platelets are less than 20,000/µL, or if bleeding occurs and platelets are 20,000-50,000/µL, transfuse platelets at 1-3 U/10 kg/d
Slide 32-

ppt slide no 32 content not found
Slide 33-

LONG BONE FRACTURE
Slide 34-

FAT EMBOLISM Gurd's Major Criteria: - Axillary or subconjuctival petechia - occurs transiently (4-6 hours) in 50-60 % of the cases; - hypoxemia (PaO sub 2, <60 mmHg; FiO sub 2, <= 0.4) - central nervous system (CNS) depression disproportionate to hypoxemia, and pulmonary edema; - Gurd's Minor Criteria: - Tachycardia (more than 110 beats per minute) - pyrexia (temperature higher than 38.5 degrees) - emboli present in retina on funduscopic examination - fat present in urine - sudden unexplainable drop in hematocrit or platelet values - increasing sed rate; - fat globules present in sputum; - Misc: - Occurs w/in 72 hours of skeletal trauma; - shortness of breath; - altered mental status; - occasional long tract signs and posturing; - urinary incontinence
Slide 35-

SURE IT IS FES? Subconjuctival petechiae Hypoxemia CNS depression
Slide 36-

CRF PERICARDIAL EFFUSION PUL. EDEMA PLEURAL & PERICARDIAL RUB
Slide 37-

GBS Progressive weakness Areflexia CSF profile (acellular, increase in protein level) Evidence of demyelination
Slide 38-

ppt slide no 38 content not found
Slide 39-

ppt slide no 39 content not found
Slide 40-

BRIEF PHYSICAL EXAM TENSION PNEUMOTHORAX ↓ BREATH SOUNDS + HYPERRESONANCE CLOSED PNEUMOTHORAX PARADOXICAL CHEST WALL MOTION / ↓ BREATH SOUNDS FLAIL CHEST SUSPECTED CHEST TRAUMA ↓ /ABSENT BREATH SOUNDS U/L + HYPERRESONANCE
Slide 41-

ppt slide no 41 content not found