Treatment For Respiratory Distress Discussion

Treatment For Respiratory Distress Discussion

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You are called to the bedside of a critical patient as a rapid response team member. Upon initial inspection the patient is cyanotic, has labored breathing, and is not responding well. Develop an SBAR (situation, background, assessment, recommendation) for this patient. Use references to substantiate your approach to this clinical scenario.

Situation:  A member of the Rapid response team was called to the bedside to attend to a critically ill patient who was showing signs of respiratory distress, such as cyanosis and difficulty breathing, and was not responding well to treatment.

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Background: The patient is a 67-year-old male having a history of COPD who has been hospitalized for pneumonia in the past 1 week.  The patient has been receiving oxygen therapy through the nasal canula at 2L/m, but his oxygen saturation has been oscillating between 85 and 90% over the past few hours. His current vital signs are BP 105/ 78mmHg, PR 120bpm, RR 30bpm, and temperature 38.3°C. Treatment For Respiratory Distress Discussion

Assessment: On examination, I noticed that the patient is cyanotic, has labored breathing, and uses accessory muscles to breathe. His oxygen saturation at present is 85% on 2 liters of oxygen per minute, and his heart rate is 105 beats per minute with a blood pressure of 84/50. Besides, I noted a diminished breath sound in all lung fields.

Based on these findings, I suspect the patient to be suffering from acute respiratory failure, a potentially fatal condition that calls for swift intervention.

Based on these findings, I suspect that the patient is experiencing acute respiratory failure (Brodie et al.,2019)Treatment For Respiratory Distress Discussion, which is a potentially life-threatening condition requiring immediate intervention.

Recommendation: My first recommendation is to immediately administer high-flow oxygen via a non-rebreather mask

at 15 liters per minute to supply the patient with a higher concentration of oxygen as the patient’s oxygen saturation fluctuates and has diminished breath sounds. Then, recommend his vital signs, such as SpO2, pulse rate, and blood pressure, be monitored continuously (Crouch et al.,2021)Treatment For Respiratory Distress Discussion. In addition, I would recommend arranging for probable endotracheal intubation to secure the patient’s airway and preserve their breathing. Furthermore, I would suggest alerting primary healthcare providers on the case and transferring him to the ICU for further management and support.

References:

Brodie, D., Slutsky, A. S., & Combes, A. (2019). Extracorporeal life support for adults with respiratory failure and related indications: a review. Jama, 322(6), 557-568.

American Association of Critical-Care Nurses. (2021). SBAR Communication. https://www.aacn.org/clinical-resources/sbar-communication

Crouch, S., Trahair, L. G., & Aitken, L. M. (2021). The use of altered rapid response calling criteria in a tertiary referral facility. Australian Critical Care, 34(3), 204-208 Treatment For Respiratory Distress Discussion