![]() This is a worsening and a late sign of hypoxia.ĭata source: British Thoracic Society, 2008 Perry et al. Patients in respiratory distress may be unable to speak in full sentences, or may need to catch their breath between sentences.Ĭhange in mental status or loss of consciousness (LOC) Patients who are hypoxic may not be able to lie flat in bed.Ībility of patient to speak in full sentences Patients in respiratory distress may voluntarily sit up or lean over by resting arms on their legs to enhance lung expansion. Patients who are hypoxic may breathe differently, which may signal the need for supplemental oxygen.Ĭhanges in skin colour to bluish or gray are a late sign of hypoxia. For patients with COPD, oxygen saturation levels may range from 88% to 92%. Oxygen saturation levels should be between 92% and 98% for an adult without an underlying respiratory condition. Secretions can plug the airway, thereby decreasing the amount of oxygen available for gas exchange in the lung. Assess lung sounds for adventitious sounds such as wheezing or crackles. Use of neck or intercostal muscles when breathing is an indication of respiratory distress.Īudible noises with breathing, or wheezes and crackles, are an indication of respiratory conditions. Shortness of breath (SOB) is an indication of respiratory distress. Increased respiration rate is an indication of respiratory distress. Never assume the absence of cyanosis means adequate oxygenation. Cyanosis is most easily seen around the lips and in the oral mucosa.
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