Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
17 Cards in this Set
- Front
- Back
|
ARDS patho
|
precipitating event
inflammation damaged alveolar decreased lung compliance hypoxia |
|
|
precipitating factors
|
lung injury
shock trauma sepsis multiple transfusions emboli burns |
|
|
phase 1
|
dyspnea and tachypnea
|
|
|
phase 2
|
patchy infiltrates and pulm edema
-ventilation |
|
|
phase 3
|
refractory hypoxemia
-no improvement despite ventilation |
|
|
phase 4
|
pulmonary fibrosis
|
|
|
signs and symptoms of ARDS
|
tachypnea
dyspnea restlessness anxiety decreased PO2 |
|
|
Diagnosis
|
CXR-diffuse patchy infiltrates
ABG's PCWP-if normal it is noncardiogenic factors Sputum for albumin |
|
|
treatment
|
treat original cause
O2 mech vent: high FIO2 Prone position-moves fluid to front |
|
|
Drug therapy
|
steroids-decrease inflammation
opiods antibx bronchodialators surfactant therapy |
|
|
nursing care
|
suction PRN
position changes DVT prevention ABG's Resp, cardiac, and GI assessment |
|
|
Calculate a refractory. Hypoxemia of a pao2 of 92 and a fi02 of 40%
|
230
|
|
|
What. Is a low refractory. Hypoxemia?
|
less than 200
|
|
|
what will you find on a chest xray?
|
that is patchy infiltrates. A white out
|
|
|
why is albumen in the sputum
|
do to increase permeability albumen slips in the lung
|
|
|
why is there a decreased lung compliance?
|
increased fluid dilute surfactant
|
|
|
key nursing interventions
|
treat decreased oxygenation
Stop the infection |
