Hi everyone i had case of respiratory ffailurebut not very sure,hope you help (english is not my mother toungue so hope you understand)
20 months male patient with microcephaly(patient has mental ******ation and developmental delays,he 10kg,can't stand or walk or talk yet) ,chief complaint is wheezing+breath hardly
afternooon,he began to cough and sniffle,low fever 37.7oC (axilla)--> at night he began to wheeze and mother feel that he breath hardly,after several hours he became worse so his mother brought him to hospital
pink with room air,less energy (the night before he not slept well due to wheezing)
Examination while he was taking the third ventoline
+awake but less energy,pink/room air,spo2 92%
+retraction of sternocleidomastoid muscle
+wheezing
+pulse 50 heart rate 130
+lung:coarse crakle + wheezes (2 lungs)
(i havent read his xray)
You think this case really is respiratory failure?
The patient very low fever,so i think this is bronchillitis?
20 months male patient with microcephaly(patient has mental ******ation and developmental delays,he 10kg,can't stand or walk or talk yet) ,chief complaint is wheezing+breath hardly
afternooon,he began to cough and sniffle,low fever 37.7oC (axilla)--> at night he began to wheeze and mother feel that he breath hardly,after several hours he became worse so his mother brought him to hospital
pink with room air,less energy (the night before he not slept well due to wheezing)
Examination while he was taking the third ventoline
+awake but less energy,pink/room air,spo2 92%
+retraction of sternocleidomastoid muscle
+wheezing
+pulse 50 heart rate 130
+lung:coarse crakle + wheezes (2 lungs)
(i havent read his xray)
You think this case really is respiratory failure?
The patient very low fever,so i think this is bronchillitis?
