Respiratory Failure / Respiratory Insufficiency / Distress

Progression

• When did disease process start
  
• Initial versus subsequent visit
  

Location

• N/A
  

Acuity

• Respiratory failure-acute, chronic or acute-on-chronic
  
• If acute respiratory failure, specify if patient is hypoxemic, hypercapnic or both

Name

• Differentiate respiratory failure from respiratory distress syndrome, respiratory arrest, and post-procedural respiratory failure
  
• Acute pulmonary insufficiency, ARDS
  

Necessary Procedures

• Intervention as necessary-intubation, high flow oxygen, NIPPV, and admission to critical care
  

Other

• If patient is on continuous home oxygen and patient has chronic respiratory failure
  
• Any significant findings on chest x-rays-infiltrates, atelectasis, effusions, pneumothorax, fibrosis, etc.
  
• Postsurgical or trauma, environmental exposure to toxic substance, allergic reaction
  

Why

• Any know causes or underlying conditions, abnormal vitals, comorbidities, changes in or underdosing of medications, hemorrhage, tobacco history, smoke exposure (second hand, occupational), etc.
  
• Cause-shock, surgery (thoracic versus nonthoracic surgery), trauma