Grades of respiratory distress
- Grade I (mild distress):- tachypnea ,working ala nasi and tachycardia .
- Grade II (moderate distress):- Chest retraction "in-drawing" (e.g subcostal and intercostal) due to moderate hypoxemia.
- Grade III (severe distress):- Grunting which is due to severe hypoxemia and indicate alveolar lesion (i.e parenchymatous lung disease).Here O2 supply is needed and patient must be hospitalized.Grunting is the last compensatory mechanism.
- Grade IV:- Cyanosis and disturbed consciousness and endotracheal tube is needed here.
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