hypoxiarespiratoryfailureandalteredmentalstatus缺氧呼吸衰竭和精神状态改变.pptxVIP

Objectives;第2页/共58页; History and Physical Exam Diagnosis Operation performed Co-Morbidities Age;History;History;Physical Exam Findings;Physical Exam Findings;Case Study #1;A - Airway B - Breathing C - Circulation;Case Study #1;Case Study #1;Indications for Intubation;Indications for Intubation;The Decision to Intubate;The decision to intubate or not intubate a patient can be a life or death decision It should not be taken lightly! However, most times you will ask yourself-’Have you ever regretted intubating a patient?’ The most likely response is that you have regretted NOT intubating a patient IF YOU THINK ABOUT INTUBATING A PATIENT YOU SHOULD PROBABLY DO IT!;Establish IV Preoxygenate patient;第17页/共58页;Case Study #1;第19页/共58页;Pathophysiology of Respiratory Failure; History and Physical Exam Diagnosis Operation performed Co-Morbidities Age;Case Study #2;Differential Diagnosis;Differential Diagnosis;第25页/共58页;第26页/共58页;第27页/共58页;第28页/共58页;第29页/共58页;第30页/共58页;Case study #2; History and Physical Exam Diagnosis Operation performed Co-Morbidities Age;Case Study #3;Case Study #3;Altered Mental Status;Altered Mental Status;Altered Mental Status;Altered Mental Status;Altered Mental Status;Altered Mental Status;Altered Mental Status; History and Physical Exam Diagnosis Operation performed Co-Morbidities Age;Case Study #4;Differential Diagnosis;Differential Diagnosis;Case Study #4;Case Study #4;Criteria for ICU assessment Threatened airway Respiratory arrest Respiratory rate 30 or 8 breaths / min Oxygen saturation 90% on 50% oxygen Cardiac arrest Pulse rate 60 or 140 beats / min Systolic blood pressure 90 mmHg Sudden fall in level of consciousness Repeated or prolonged seizures Rising arterial carbon dioxide tension with respiratory acidosis ;Case Study #5;Differential Diagnosis;Differential Diagnosis;What do you do?; History and Physical Exam Diagnosis Operation performed Co-Morbidities Age;第54页/共58页;ARDS;??;第57页/共58页;感谢您的观看