Acute Respiratory Failure NUR213

Early S&S

100

Eating to Breathe

What is Air Hunger?

200

Unable to Sleep

What is Restlessness?

300

A sign your blood pressure may be high

What is Headache?

400

Another word for "feeling tired"

What is Fatigue?

500

Physical Findings

What is...

~Use of Accessory Muscles

~Decreased Breath Sounds

~Wheezing

~Shallow Breathing

~Inability to Speak in Full Sentences

Late S&S

100

HR >100

What is Tachycardia?

200

Rapid Breathing

What is Tachypnea?

300

Excessive Sweating

What is Diaphoresis?

(skin will be Cool & Clammy)

400

Looking Blue

What is Central Cyanosis?

500

Altered Mental Status

What is Confusion & Lethargy?

ABGs

100

Too Much CO2

What is Respiratory Acidosis?

200

Low Level of CO2 in the Blood

What is Respiratory Alkalosis?

300

Too Much Acid in the Body Fluids

What is Metabolic Acidosis?

400

Elevated Serum Bicarbonate

What is Metabolic Alkalosis?

500

The Numbers for PaO2 and PaCO2

What is PaO2<60 mmHg and PaCO2 >50 mmHg?

ARDS Things

100

Term used to describe Mild ARDS

What is Acute Lung Injury?

200

Resulting Hypoxemia leads to

What is Respiratory Acidosis?

300

Arterial Hypoxemia does not respond to supplemental oxygen which leads to

What is 

~Fibrosing Alveolitis

~Severe Hypoxemia

~ Increased alveolar dead space and decreased pulmonary compliance

400

Initially, ARDS resembles severe Pulmonary Edema

What is the Rapid Onset of Severe Dyspnea Less than 72hrs?

500

Define PEEP

What is Positive Pressure maintained at the end of Exhalation?

and or

What is Increases functional residual capacity & Opens Collapsed Alveoli? 

Seemed Important

100

Maintain cuff pressure at appropriate level

What is 20-25?

(Preventing complications associated with endotracheal and tracheostomy tubes)

200

The P/F ratio indicates < 400

and 

The P/F ratio indicates <300

What is Hypoxemia?

AND

What is Respiratory Failure

300

Indications for Mechanical Ventilation

What is...

~PaO2 < 55 mmHg

~PaCO2 > 50 mmHg

~pH < 7.32

400

The solution is check tubing; reposition patient; insert oral airway if necessary.

What is Tubing Kinked?

500

The application of Positive Pressure to lungs; High Mean Airway Pressures lead to alveolar rupture

What is Pneumothorax?

~Notify MD

~Prepare pt for Chest Tube

~Avoid High-Pressure Settings for pts with COPD, ARDS, or hx of pneumothorax