ARDS
In the realm of patient care, when symptoms first appear, an elevated positioning, ranging from semi to high, may be beneficial. Following the initial phase, it may be necessary to readjust your patient into this particular stance for continued care.
What is prone position?
A PE caused by a fat emboli may have this distinctive sign.
What is petechiae over the chest?
Elevated levels of fibrin degradation products prompt the use of this diagnostic test, aiding clinicians in assessing patients suspected of clot-related disorders.
What is the D-dimer test?
This condition, characterized by multiple rib fractures causing a segment of the chest wall to move paradoxically with respiration, is known as...
What is flail chest?
When assessing a client suspected of having a hemothorax, healthcare providers often observe this characteristic upon percussion, particularly prominent in the dependent areas of the thorax when the client is in an upright position."
What are "dullness to percussion" and "decreased or absent breath sounds"
The diagnosis of ARDS utilizes a specific criteria for the PaO2 _____ or PaCO2 _____ and this pH ____ level with a SaO2 < _____. Fill in the blanks
What is a Pa O2 < 60 mm Hg or PaCO2 > 45mm Hg with a pH <7.35 with an SaO2 <90%
This type of medication used in treating cardiac hypertension is common in treating pulmonary hypertension by widening the vessels.
What is vasodilators?
In this list of medications which medication would you give last during the intubation process: Etomidate, Succinylcholine, Propofol, lidocaine.
What is Succinylcholine?
In cases of rib fracture, clients experiencing this symptom may warrant immediate medical attention, as it could indicate injury to nearby structures?
What is coughing up blood?
When fluid accumulates in the potential space between the chest wall and lung, healthcare providers may perform this procedure, which involves the removal of fluid for diagnostic or therapeutic purposes.
What is thoracentesis?
Although ABG's are an important part of managing ARDS which test would provide a definitive diagnosis?
Although the most common cause of a PE is a DVT another risk factor may be caused by this dysrhythmia known for an increased risk in clot formation.
What is atrial fibrillation?
This tool is an essential instrument in critical care units for evaluating pain responses in clients who cannot self-report, utilizing observable behaviors such as facial grimacing and muscle tension."
What is the Critical Care Pain Observation Tool (CPOT)?
What is bruising, difficulty breathing, deformity over the chest, tenderness, crepitus over the fractured ribs, paradoxical movement, swelling, or coughing up blood?
This life-threatening condition results from the accumulation of air in the pleural space, compressing vital structures in the chest such as the lungs, heart, and blood vessels.
What is tension pneumothorax?
Severe ARDS not responding to conservative treatment may require clients be placed on this machine.
What is the extracorporeal membrane oxygen (ECMO)?
Unlike acute pulmonary embolism, this condition arises from untreated or recurrent blood clots in the lungs, causing progressive pulmonary hypertension.
What is chronic thromboembolic pulmonary hypertension (CTEPH)?
The client has a RASS score that is significantly lower than the set goal. The nursing intervention would include this action?
What is decreasing the prescribed sedative?
Although lungs are often recognized as at risk for clients with rib fractures which solid organs are also at risk for injury in the case of lower rib fractures? (list 2)
What are the liver and spleen?
The accumulation of serous fluid, blood, urine, chyle, or pus in the pleural cavity characterizes this condition, which can impede lung movement and cause respiratory distress.
What is pleural effusion?
After the initial stage of ineffective gas exchange and ineffective perfusion the client may experience an change in alertness and orientation. The S&S the client experiences first include? (list 4)
What is anxiety, restlessness, agitation, increased respiratory rate?
Clients with pulmonary hypertension need close monitoring for this symptom, as it may suggest fluid overload, placing strain on the heart and exacerbating symptoms.
What is rapid weight gain?
When assessing a patient for respiratory acidosis, healthcare providers pay close attention to this vital sign, as alterations may indicate the body's attempt to correct pH imbalances by adjusting carbon dioxide levels.
What is respiratory rate?
Acidosis can be caused by hypoventilation.
Although painful what instructions would you give your client with a fractured rib to reduce the risk of lung function? (list 2)
After the insertion of a chest tube to manage a pleural effusion, the presence of bubbling in the water seal chamber suggests ongoing activity, such as air escaping from the pleural space or this phenomenon.
What is air leak?