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Ch 16 - Respiratory Emergencies
S/S of Inadequate Breathing
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Signs/Symptoms of
inadequate
breathing

Difficulty
breathing or
shortness
of breath
AMS
associated with shallow or slow
breathing
Anxiety/restlessness (
adult
); sleepiness/listlessness (
pediatric
)
Respiratory
rate is too fast or slow
Irregular
breathing rhythm
Skin is
pale
/
cool
/
clammy
/
cyanotic
Adventitious
breath sounds:
wheezing/gurgling/snoring/crowing/stridor
Decreased
or noisy breath sounds heard on one or both sides of the
chest
Cannot
speak
more than a few words between breaths (not being able to speak at all is a
respiratory emergency
)
Use of
accessory muscles
/
retractions
/
labored
breathing
Unequal
or inadequate
chest expansion
Excessive
coughing
Sitting in
tripod
position
Pursed
lip breathing or
nasal
flaring
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What are considered adventitious breath sounds? (5)
wheezing
gurgling
snoring
crowing
stridor
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