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ED Respiratory Essentials for New Nurses

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Respiratory ED basics

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ED Respiratory Essentials for New Nurses
 

ED Respiratory Essentials for New NursesOnline version

Respiratory ED basics

by Erin
1

What is the first priority when a patient presents with acute dyspnea in the ED?

2

Which is first-line treatment for an acute asthma attack in the ED?

3

Which finding favors pulmonary edema over pneumonia on exam?

4

Best initial test to evaluate suspected pulmonary embolism in the ED?

5

What is the first sign suggesting a spontaneous pneumothorax on examination?

6

How is COPD exacerbation commonly managed in the ED?

7

When is noninvasive ventilation (CPAP) most beneficial in ED respiratory failure?

8

Discharge criteria for a stable ED pneumonia patient include:

9

Which scenario most strongly indicates the need for intubation in the ED?

10

What is a trigger for Asthma

Feedback

Airway comes first (ABCs). Securing breathing and airway prevents rapid deterioration.

SABA rapidly opens airways in acute asthma; steroids are adjunctive.

Pulmonary edema often shows diffuse crackles and edema signs rather than focal infection.

CTPA is the preferred diagnostic test when PE is suspected and patient can be imaged.

Hyperresonance suggests air in the pleural space consistent with pneumothorax.

Bronchodilators and steroids are mainstays; only intubation if failure.

CPAP helps improve oxygenation in pulmonary edema and select COPD cases.

Stability and tolerance of oral intake with improving symptoms support discharge.

Progressive failure to maintain ventilation despite support necessitates intubation.

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