If a patient presents with severe respiratory issues, what should the respiratory therapist evaluate first?

When a patient presents with severe respiratory issues, it is crucial to first evaluate the general appearance of the patient. This assessment gives immediate insight into the patient's overall condition, particularly in terms of their respiratory status. Signs such as cyanosis (bluish color of the skin or lips), use of accessory muscles, or altered mental status can be quickly identified through observation.

General appearance can provide valuable clues that indicate whether the patient is in respiratory distress or experiencing an acute exacerbation of a chronic condition. For instance, a patient in significant distress may exhibit tachypnea (rapid breathing), labored breathing, or signs of fatigue. This initial evaluation helps prioritize further assessments and interventions.

While oxygen saturation levels, blood pressure, and temperature are all important vital signs that contribute to understanding a patient's condition, they may not offer the same level of immediate visual insights into the respiratory issues as observing general appearance. Evaluating these factors can come after the initial assessment to guide further treatment and management decisions.