PPT-Chest Pain & Shortness of Breath

Justin Berkowitz DO MS Guy Carmelli MD Raymond Beyda MD Michael Griesinger MD Objectives Emergency Department management of Chest Pain and Shortness of Breath Differential Diagnoses History and Physical. Medicine How much to take When to take it or puffs every 20 minutes for up to 1 hour Nebulizer once Medical Alert Very short of breath or Quickrelief medicines have not helped or Cannot do usual activities or Symptoms are same or get worse after 24 :. Weigh yourself in the morning before breakfast, write it down and compare to yesterday’s weight.. Take your medicine as prescribed.. Check for swelling in your feet, ankles, hands and stomach.. Shortness of Breath Shortness of breath may occur because you have difficulty getting air in and out of your lungs. Shortness of breath can also be called dyspnea, breathlessness or air hunger. internal medicine. Jarrod D. Frizzell, MD, MS. Sep 17, 2015. Cardiology on the medicine boards 2015. Cardiology. 14%. Hypertension. 5%. Pericardial disease. <2%. Ischemic heart disease. <2%. Dysrhythmias/conduction defects. Abdulrahman Al Frayh. Professor of Pediatrics. Consultant Pediatric Pulmonologist. King Saud University. Definition. . Shortness of breath (SOB), or dyspnea, is a feeling of difficult or labored breathing that is out of proportion to the patient’s level of physical activity.. Chest tightness Chest pain (angina) Palpitations Shortness of breath Unusual fatigue Increased sickness and premature death from: onary artery disease Abnormal heart rhythms Congestive heart failure S Hong-. Phuc. Tran, M.D.. Learning Objectives. Understand . pathophysiology. of dyspnea. Learn how to evaluate dyspnea. Understand reversible causes / potential contributors of shortness of breath. Manage shortness of breath in terminally ill patients. MORNING REPORT HPI CC: 70 y/o w/ shortness of breath x ~1month 70 y/o Caucasian male with a history of HTN, HLD, DM, BPH, ED, and recently diagnosed polyclonal hypergammaglobulinemia presents with shortness of breath, fatigue, and lightheadedness. Symptoms began over month ago with worsening over the past two weeks. He was treated for community acquired pneumonia about  a month ago with Azithromycin. He felt a little better while on the ABX but now feels about the same. He endorses shortness of breath, lightheadedness, substernal non-radiating chest pain associated with the shortness of breath, palpitations, feeling easily fatigued, feeling cold, and night sweats. Denies syncopal episodes, subjective fevers, easy bruising, headache, wheeze, cough, sputum production, Abd pain, N/V/Constipation, dysuria, and swelling. Be smart and safeDon146t sit all day For example If watching TV get up during every commercial or periodically laundry do the dishes or take out the garbage Feel productive after just one showStrength 24 HOUR MEDICAL CARE FOR URGENT HEALTH NEEDS SUCH ASChest pain difx00660069culty breathing or shortness of breath Serious or severe injuries burns electrical shock Broken bones Uncontrolled bleedin T. he process of . collecting. clinical information about the patient’s health status, . the . evaluation. of the data and identification of the specific problems, concerns, and needs of the patient, and . 2- Cardiovascular System (CVS). BY. Assist . Lectu. . Ali Malik . Tiryag. , . Msc. , Adult nursing. Assist . Lectu. . . Saja. Kareem Jassim, . Msc. , Adult nursing. . . . University of Basrah . College of Nursing . Professor of Pediatrics. Consultant Pediatric Pulmonologist. King Saud University. Definition. . Shortness of breath (SOB), or dyspnea, is a feeling of difficult or labored breathing that is out of proportion to the patient’s level of physical activity.. Take your medicine as prescribed.. Check for swelling in your feet, ankles, hands and stomach.. Eat low salt food.. Balance activity and rest periods.. Which Heart Failure Zone are you today? .