Interstitial Lung Diseases

First Things First (assess & treat for the following)

• Does patient require emergent intubation?
  • Airway protection
  • Hypercarbia (pending ventilatory failure)
  • Refractory hypoxia
• Does patient have evidence of acute MI?
  • Chest pain, ECG changes, elevated cardiac enzymes
• Does patient have evidence of shock?
  • Severe hypovolemia or CHF (volume overload)