ARDS & Crafts
Treatment for ARDS
PEEP and Prone positioning
Example (2) of obstructed Airway in trauma
swelling, bleeding, teeth/tongue...
Causes of low alarms
Leaks
Priority for hypovolemic shock
IVF
Mild hyperthermia symptoms
Shivering lethargy confusion, SB
Why low TV for ARDS
decreases risk of volu/barotrauma
What to do if not breathing
Reposition airway w/jaw thrust
Causes of high alarms
Obstructions
Priority for Cardiogenic Shock
Reduce preload, afterload, workload and oxygen consumption
Treatment of mild hyperthermia
Rest, elevation of limbs, electrolyte/fluid drinks, gentle massage of legs
ABG: pH 732, pCO2 50, HCO 28, pO2 51 - Name the type of Respiratory Failure
Hypoxemic and Hypercapnic
What is done during "E"
safe environment, clothing, cover
What is PEEP
Positive End Expiratory Pressure
S/S of Neurogenic Shock
SB, hypotension
Symptoms of temp 92 degrees F
SB, hypotension, decreased respirations, confusion, shivering
Classic symptom of ARDS
Refractory Hypoxemia
What is ROSC and why use TTM?
Return of spontaneous circ to avoid neuro damage
Caused by hypoventilation
Hypercapnic Respiratory Failure
How to evaluate effectiveness of IVF & Vasopressors
MAP > 65
O2, ECG, cool wet sheets, fans, ice to axilla, groin
What happens in last stage of ARDS
Scar tissue
What is SAMPLE
S/s, Allergies, Medication they take, past hx, events leading up to injury
Prevention of VAP
Mouth care, suction technique, hob...
Complications of Septic Shock
ARDS, DIC, MOD
Treatment of Severe Hypothermia
rewarm to 86 degrees, warm IVF, O2, and gastric lavage