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68 Cards in this Set
- Front
- Back
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• Pulmonary edema with diffuse bilateral infiltrates (white-out)*
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ards
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• Severe arterial hypoxemia* due to shunting and mixing of un-oxygenated blood
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ards
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compliance in ards?
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dec with inc lung stiffness
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V/Q ARDS?
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mismatch
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Pt with ARDS has PaO2:FiO2 of 200-300. severity?
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mild, no longer acute
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Pt with ARDS has PaO2:FiO2 of 100-200. severity?
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moderate
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Pt with ARDS has PaO2:FiO2 of <100. severity?
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severe
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pancreatitis RF for?
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ARDS
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sepsis is risk for
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ARDS
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aspiration of gastric contents is risk for?
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ARDS
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drug overdose is risk for
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ARDS
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near drowning is risk for?
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ARDS
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ARDS: PULMONARY EDEMA WITH _______HYDROSTATIC PRESSURES
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LOW OR NORMAL
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ARDS: fibrinolytic mechanisms are ______
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inhibited
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Why V/Q imbalance in ARDS?
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shunting of blood through collapsed alveoli regions and fibrin filled regions
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lung fields ARDS involves?
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MOST
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Why hypoxemia despite hight O2 in ARDS?
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shunting
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ARDS associated with?
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precipitating events
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4 phases ARDS
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acute, latent, acute respiratory failure, severe abnormalities
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resp alkolosis or acidosis?
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alkolosis, seen in 1st stage
acidosis seen in 4th |
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ARDS stage tachypnea, tachycardia, resp. alkalosis seen in?
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1
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hyperventilation seen in ARDS
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2
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tachypnea and dyspnea in ARDS
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3
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high ptiched crackles in ARDS?
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3
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dec compliance stage ARDS?
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3
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metabolic and resp. acidosis seen in?
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4
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VDS used in ARDS?
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nitroprusside, ACE inhibitors, hydralazine
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Pt survives ARDS with lung firbrosis? type of dz
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restrictive
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DLco in ARDS survivors
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dec
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O2 ABG ARF
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Pa O2: 50-55 mmHg or O2 sat <85% or PaO2 drop>10-15mmhg
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CO2 ABG ARF
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>50 mmHg or inc 10 mmHg
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Hypoxemic RF or hypercapnic RF:
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Hypoxemic
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Hypoxemic RF or hypercapnic RF:• Alveolar disease
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Hypoxemic
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Hypoxemic RF or hypercapnic RF:• Severe ventilation-perfusion mismatch
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Hypoxemic
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Hypoxemic RF or hypercapnic RF:dyspnea,HTN
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both
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Hypoxemic RF or hypercapnic RF:
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Hypoxemic
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Hypoxemic RF or hypercapnic RF:cyanosis,
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Hypoxemic
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Hypoxemic RF or hypercapnic RF:restlessness, confusion, anxiety
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Hypoxemic
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Hypoxemic RF or hypercapnic RF:anxiety
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Hypoxemic
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Hypoxemic RF or hypercapnic RF:delirium
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hypoxemic
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Hypoxemic RF or hypercapnic RF:tachypnea, tachycardia
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both
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Hypoxemic RF or hypercapnic RF:cardiac arrhythmias, tremor
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hypoxemia
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Hypoxemic RF or hypercapnic RF:• Respiratory muscles failure
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hypercapnic
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Hypoxemic RF or hypercapnic RF: Drug OD
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hypercapnic
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Hypoxemic RF or hypercapnic RF:dyspnea,
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hypercapnic
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Hypoxemic RF or hypercapnic RF: HA
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hypercapnic
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Hypoxemic RF or hypercapnic RF:peripheral and conjunctival hyperemia
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hypercapnic
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Hypoxemic RF or hypercapnic RF:impaired consciousness
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hypercapnic
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Hypoxemic RF or hypercapnic RF:papilledema
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hypercapnic
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asterixis (flap tremor seen int what type of ARF
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hypercapnic
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ARF CXR classification
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normal , abnormal
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MV complications
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atelectasis, barotrauma(SQ emphysema, pneumomediastinum, gas embolism, acute respiratory ALKOLOSIS
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Electrolyte levels you should check in ARF
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potassium and phosphate
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CO2 production in refeeding syndrome
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inc as well as inc O2
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What is decreased in refeeding syndrome
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phosphorus, K, Mg, glucose, thiamine
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how can excess glucose cause inc minute ventilation
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it is converted to CO2 which inc ventilation to prevent metabolic acidosis
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T/F refeeding likely due to one subtrate
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NO excess total calories
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What has highest R/Q?
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carbs
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fat soluable vitamins
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A D E K
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CF bone dz: assure adequate intake of what?
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ca, P, VIT D/K (treat low levels aggressively)
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PFT a measure of nutriton status?
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NO, still a correlation
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Vit A requires for absorption?
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bile salts
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What type of vit a forms used?
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water soluable, beta carotene(lower risk)
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when would you use parentral nutrion
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poor tolerance of EN, metabolic stress, post transplantation, following GI surgury
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all CF pts should get what supplemented
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Vit D
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vitamins you should give higher than daily allowance in CF
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Vit E, Vit K,
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in CF what causes scaly dermatitis, alopecia, thrombocytopenia, growth failure, dec pulm status
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depleted essential fatty acids
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other things that might be depleted in CF
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sodium and zinc
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