All things ARDS
Symptoms within 1 week of injury (2 answers)
dyspnea, tachypnea
Leading cause is ____
cig smoking
One treatment for CF is:
lung transplantation
Preventative medication:
Heparin
What is an example of a reversible chronic airway limitation
Asthma
Pulmonary capillary wedge pressure (answer in mm Hg)
18
Must sit ____ to breath.
upright (tripod position)
____ is the most common pathogen found in adult patients with CF
Pseudomonas aeruginosa
what do Thrombolytics do
dissolve the clots
____ is a lung infection that affects individuals on a ventilator (48 hours after intubation).
Ventilator associated pneumonia
Label each as direct or indirect
Sepsis, Drug overdose, Near drowning, CABG, Pnemonia
Indirect, Indirect, Direct, Indirect, Direct
COPD PRESENTATION and Assessment: Tachycardia and hypotension due to damage to ____ side of heart
right
Mutation in ____ results in “sticky” mucus that obstructs glands
chloride transport
Complications: 3
Heart failure
Obstructive shock
Death
Pnemonia Patho: Impaired mucociliary clearance allows the large influx of ____ and ____ to enter the airways and alveoli
phagocytic cells and exudate
Treatment: Positive end-expiratory pressure. Use of this helps ____
keep alveoli from collapsing
Medical Management of ARF in COPD:
3 Meds:
Beta2 agonists (bronchodilators)
Corticosteroids
Antibiotics
may need ____ to digest food
pancreatic enzymes
Etiology (4 answers) give at least 2
•Virchow’s triad
•Venous stasis
•Altered coagulability
•Damage to vessel wall
Hyperventilation with air trapping results in
respiratory acidosis
ARDS Pneumonic
A
B
C
D
E
FG
•A = Airway, establish a patent airway, intubate as necessary.
•B = Breathing, commence mechanical ventilation and obtain an adequate minute volume to maintain oxygen delivery.
•C = Circulation: blood pressure, pulse, intravascular volume – fluid resuscitation and vasopressors as necessary
•D = Diagnosis, find the underlying problem and control the source.
•E = Empiric therapy, for example antimicrobials for sepsis
•FG = Feed the Gut, to prevent atrophy of villus and bacterial trans
ABG usually with normal pH, Pa02 ____; PaC02 ____, with elevated____
60-65 and 50-60 and HC03-
affects which glands (5)
Lungs (greatest effect)
Pancreas
Liver
Salivary glands
Testes
when ___ lodges in pulmonary vasculature it is called:
clor or plug , pulmonary emboli
_____ occurs when bronchoconstriction does not respond to therapy
Status asthmaticus