Page 2720 - Cote clinical veterinary advisor dogs and cats 4th

1414 Dyspnea and Respiratory Distress: Hospital-Acquired

Dyspnea and Respiratory Distress: Hospital-Acquired
VetBooks.ir

Acute hospital-acquired
respiratory distress

Provide supplemental
oxygen

Chest radiographs

Cardiomegaly?
Diffuse infiltrates Large vessels?
Cranioventral Minimal and normal Perihilar interstitial Pleural space
alveolar pattern? lesions? cardiac silhouette? infiltrates? disease?

Yes: suspect pneumonia Yes: suspect PTE Yes: suspect ARDS; Yes: stop fluids; Yes: perform
• Diagnostics (TTW, BAL) if stable patient or early aspiration supportive care give furosemide; thoracocentesis
• Respiratory therapy (e.g., nebulization) pneumonia; and treatment of echo if available
• Broad-spectrum antibiotics; consider consider underlying disease
multidrug resistance anticoagulation,
supportive care,
and identification
and treatment of
underlying disease

ARDS, Acute respiratory distress syndrome; BAL, bronchoalveolar lavage; PTE, pulmonary thromboembolism; TTW, transtracheal wash.
UPDATED AND EDITED BY: Leah A. Cohn, DVM, PhD, DACVIM
ORIGINALLY WRITTEN BY: Scott P. Shaw, DVM, DACVECC

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