all about ARDS
clinical manifestations
tx
tx pt.2
rando
100

severe inflammatory process causing diffuse _____ _____ that results in sudden & progressive __________ ______

what is alveolar damage & pulmonary edema

100

decreased CO s/s in ARDS pt: (which are incorrect, if any): low BP, tachycardia, reduced UO, edema in ankles, feet, or abdomen, fatigue, dizziness, confusion, weakness, shallow breathing, fainting, anxiety, weight loss, dull-looking skin that may be cold & clammy, liver enlargement

what is shallow breathing (it is rapid), weight loss (it is gain),

100

supportive txments

what is prone positioning, sedation, paralysis, & nutritional support

100

propofol & nursing considerations 

what is a sedative; use cautiously w CVD, lipid disorder, increased ICP, can cause apnea, bradycardia, hypotension, buring & pain at insertion site, can turn urine green, assess resp. status & hemodynamics, maintain patent airway, assess level of sedation

100

BNP (Plasma Brain Natriuretic Peptide) level

what is helpful in distinguishing ARDS from cardiogenetic pulmonary edema

200

cause

what is direct injury to the lungs (smoke inhalation) or indirect insult to the lungs (shock)

200

ABG

what is respiratory alkalosis (initially)

200

goal of PEEP

what is a PaO2 >60 mm Hg or an oxygen saturation level of >90% at the lowest possible FiO2

200

the occurrence of _____________ not only increases the risk of ventilator complications but also affects the comfort of patients

what is pt-ventilator asynchrony (PVA)

200

if not diagnosed or treated

what is fatality within 72 hours of onset

300

pt status monitored by what 3 things

what is ABG analysis, pulse oximetry, & bedside pulmonary function testings

300

"stiff lungs"

what is decreased pulmonary compliance (difficult to ventilate)

300

Pulmonary Artery Catheterization Criteria

what is...

- occurrence of an ALI or a hx of systemic or pulmonary risk factors

- acute onset of resp. distress

- diffuse, bilateral infiltrates on chest x-ray

- no clinical evidence of left-sided hF (left atrial HTN)


300

nursing action (to the pt) when patient is given a neuromuscular blocking agent (education)

what is reassurement that the paralysis is a result of the medication & is temporary

300

must be provided to compensate for the severe respiratory dysfunction

what is aggressive, supportive care (ET Intubation & Mechanical Ventilation)

400

3 priorities

what is circulatory support, adequate fluid volume, & nutritional support

400

mild, moderate, & severe

what is classifications according to the severity of hypoxemia experienced by the pt:

mild: >200 but <300

moderate: >100 but <200 

severe: <100


(PaO2/FIO2)

400

first consideration of nutritional support

what is enteral feeding (formulas have been developed that provide large amounts of fat calories rather than carbohydrates)

400

Rocuronium & Pancuronium

what are examples of neuromuscular blocking agents

400

EVALI

what is the syndrome known as e-cig/vaping-associated acute lung injury

500

saltwater

what is an example of a direct lung injury (near drowning)

500

findings on x-ray

what are bilateral infiltrates that quickly worsen

500

look at albumin level frequently

what is if parenteral nutrition is required & being given

500

dexmedetomidine

what is a sedative 

500

causes the fluid build up

what is the body's inflammatory response ("affects both lungs most of the time, 99% of the time i should say")

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