DIFFICULTY BREATHING

Pediatric


Variety of presentations including (but not limited to):

A. Obtain and record telephone triage assessment that includes:

  • Time of onset
  • Rate and quality of respirations
    • instruct caller to put phone to child's nose & mouth and listen carefully
  • Associated symptoms and behavior

cough

exertional dyspnea

difficulty feeding

fever

position of comfort

ability to speak in sentences

drooling

chest pain

cough (short, wet, bark, etc)

choking

vomiting

eye or nasal discharge (color?)

earache

wheezing

sore throat and/or hoarseness

headache

retractions

level of consciousness

rash

stridor

difficulty swallowing

cyanosis

hemoptysis

foreign body aspiration

pallor

grunting

inability to bend neck forward

B. Risk Factors which increase the acuity of the pediatric patient:

C. Activate Emergency Medical System for Ambulance Transport (Call 911 now!)

D. See Immediately

E. See Within 4 Hours:

F. See Within 12 - 24 Hours:

G. Home Care Advice

H. Call Back If:

(Briggs, 1997; Brown, 1994; Fleischer, Ludwig, 1993; Schmidt, 1994; Suddarth, 1991)


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