Telephone Triage Guidelines - St. James's Hospital
Telephone Triage Guidelines - St. James's Hospital
Telephone Triage Guidelines - St. James's Hospital
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
DyspnoeaHAEMATOLOGY ONCOLOGY TELEPHONE TRIAGE GUIDELINESBREATHLESSNESSToxicity grading of breathlessness or dyspnoea:Grade 1 Grade 2 Grade 3 Grade 4Dyspnoea onexertion but canwalk one flightof stairs withoutstoppingDyspnoea on exertionbut unable to walk oneflight of stairs or a shortdistance withoutstopping.Dyspnoea with ADLDyspnoea atrest.SeverelydebilitatingNCI-CTCAE v3.0 (2003)N.B. Baquirian, D.C. & Gallagher, J. (1998) Cancer and Pulmonary Toxicities. Thedamage caused by cytotoxic agents causes destruction of the alveolar and interstitialepithelium, making capillary exchange of oxygen and carbon dioxide difficult, Alveolitis,interstitial pneumonitis and fibrosis can occur, which reduces the functional residualcapacity and elasticity of the lungs. These effects are precursors to life-threateningrespiratory failure.HOPe Directorate, <strong>St</strong>. James‟s <strong>Hospital</strong> V2 201221
Change language