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if the COPD patient with show signs of respiratory distress go to the emergency room, what...

if the COPD patient with show signs of respiratory distress go to the emergency room, what will you do first to help the patient?
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Answer #1

My “first 10 minute ” approach to a sick patient with undifferentiated trouble breathing is based on quickly finding the right treatment, but not necessarily on finding the right diagnosis. I notice that this simplifies my thinking. There are only a small range of things I can do to help a dyspnea patient and I want to select the right treatments from my menu quickly:

Management of airways
Oxygen (including nasal oxygen humidified by high flow)
Positive expiratory pressure at the end

Ventilation with positive pressure

Decompression of the Chest

Bronchodilators (and eventually steroids)

Epinephrine

With nitroglycerin

The Cardioversion

PCI / Thrombolytics

Pericardiocentesis Typically

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