Respiratory failure (breathing failure, ARDS)


Description

Respiratory failure results in inadequate oxygen delivery to the body and can lead to rapid death. The body's respiratory system is composed of the chest cavity and diaphragm, the lungs, the air tubes (trachea and bronchi) and the upper airway (mouth and throat). A disorder in any structure or a combination of these structures can cause a failure of the respiratory system.

Symptoms

Confusion, easy fatigue, lethargy, shortness of breath, sleepiness, blue discoloration of the skin (cyanosis), coma.

Tests

Common tests used for diagnosis and treatment

Workup:
A history and physical exam will be performed. Tests that to identify the cause and the extent of the respiratory failure will be done, starting with a chest x-ray.

Tests:
Complete blood count (CBC), Comprehensive metabolic panel (CMP), CT Scan, D-Dimer, Electrocardiogram (EKG), Troponin, Urinalysis (UA), X-ray

Other Specific Tests: Arterial blood gas (ABG), pulmonary function test, BNP

Specialists:
Pulmonology, Pediatric Pulmonology

Treatment

Treatment is aimed at reversing the cause of the respiratory failure and maximizing the oxygen delivery to the body. Treatment includes: supplemental oxygen, continuous positive airway pressure (CPAP), and mechanical ventilation.
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