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Clinical observation of gas exchange
- Measurement of respiration rate and work of breathing; comfort level; tachypnea
- Assessment of chest wall motion; abdominal muscle recruitment
- Observation for evidence of diaphragmatic paralysis
Adult Onset DM1
- Weakness of the diaphragm, abdomen and chest wall muscles affecting the ability to cough, resulting in chronic lung infections
Prenatal
- Failure of cerebral respiratory control, which may result in fetal distress
- Pulmonary immaturity, which may be further complicated by premature birth
Newborn
For those who have a tracheotomy, the right answer may be "as needed" if the patient can get off the ventilator intermittently. Keeping the patient comfortable and able to communicate is important.
