On Call: Shortness of Breath (Dyspnea)/Hypoxia Differential Diagnosis Upper Airway ObstructionAngioedemaAnaphylaxisEpiglottitisForeign Body in TracheaCardiac EtiologyMyocardial Infarction (MI)Pericardial TamponadeHeart FailureArrhythmiaPulmonary EtiologyPulmonary Embolism (PE)COPD/Asthma ExacerbationTension PneumothoraxPneumoniaPulmonary EdemaPleural EffusionAcute Chest SyndromeOther EtiologyAnxiety & HyperventilationDiabetic Ketoacidosis (DKA)SepsisStrokeSalicylate PoisoningTrauma/Rib FracturePostoperative Pain Particular Concerns for History & Physical VitalsABC’s – Airway, Breathing & CirculationVital SignsOxygenation Monitoring*See Surgical Critical Care: Oxygen Delivery & MonitoringSubjectiveSeverityTiming (Sudden or Gradual)Associated Chest PainFeversCough/SputumTobacco or Drug UseHistoryHistory of Cardiac DiseaseHistory of Pulmonary DiseaseHistory of Psychiatric DiseaseSurgical HistoryPrior IntubationsPhysical ExamMental Status ChangesCyanosisRetractions & Use of Accessory MusclesDiaphoresisUnable to Lie SupineHeart/Lung AuscultationJugular Venous Distention Work Up & Management Initial OrdersEKGChest X-RayTroponinOther Potential OrdersArterial Blood Gas (ABG)Other Labs (CBC, CMP, BNP)EchocardiogramCT ChestCTA ChestCT Pulmonary AngiogramFurther ManagementDictated by Findings & DiagnosisSupplemental Oxygenation*See Surgical Critical Care: Supplemental Oxygenation*See Surgical Critical Care: Non-Invasive Ventilation (NIV)*See Surgical Critical Care: Mechanical Ventilation – Settings & Modes