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What is In a patient with bronchial asthma silent chest signifies and explain in detail?
Ans. is 'c' i.e., Grave Prognosis Silent chest (Little/no air movement without wheezes in Bronchial Asthma suggests a grave prognosis/impending respiratory failure (Life threatening Asthma). Signs of impending respiratory failure include : Drowsiness or confusion Diaphoresis Bradycardia Paradoxical thoraco abdominal Signs of impending respiratory failure in Asthma Drowsiness or confusion Diaphoresis Bradycardia Paradoxical thracoabdominal movements PEFR < 33% Hypotension Pulsus paradoxus Hypercapnea Silent chest